Grace Ryan, DC | |
1499 W Yamato Rd, Boca Raton, FL 33431-4435 | |
(561) 208-5900 | |
Not Available |
Full Name | Grace Ryan |
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Gender | Female |
Speciality | Chiropractor |
Location | 1499 W Yamato Rd, Boca Raton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417285628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 12838 (Florida) | Primary |
Provider Name | Lifeclinic Physical Therapy & Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679937601 PECOS PAC ID: 7214222793 Enrollment ID: O20160823001445 |
Mailing Address | Practice Location Address |
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Grace Ryan, DC 4677 Hammock Cir, Delray Beach, FL 33445-5318 Ph: (314) 435-2386 | Grace Ryan, DC 1499 W Yamato Rd, Boca Raton, FL 33431-4435 Ph: (561) 208-5900 |
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