| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RYAN A EDGAR | 1659855500 | 2022-11-20 |
Ryan A Edgar is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659855500. Registration indicates Ryan A Edgar is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Ryan A Edgar PT |
| Practice Office Address | 61 MAPLE AVE STE 2 COLLINSVILLE, CT US |
| Practice Office Telephone | 8603522463 |
| Practice Office Fax | 8603528247 |
| Mailing Address | 302 W MAIN ST STE 204 AVON, CT 060014306 US |
| Business Telephone | 8606790430 |
| Business Fax | 8606790431 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 11929
CT |