Provider Demographics
NPI:1023264033
Name:RYAN, ANN-MARIE (PT)
Entity type:Individual
Prefix:MRS
First Name:ANN-MARIE
Middle Name:
Last Name:RYAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:ANN-MARIE
Other - Middle Name:
Other - Last Name:DEVLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 EAGLE NEST DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-3730
Mailing Address - Country:US
Mailing Address - Phone:401-333-5972
Mailing Address - Fax:401-334-6171
Practice Address - Street 1:20 EAGLE NEST DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-3730
Practice Address - Country:US
Practice Address - Phone:401-333-5972
Practice Address - Fax:401-334-6171
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-09
Last Update Date:2008-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT01125225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist