Most Relevant Information
Provider Data
| NPI Number: | 1003327438 |
| Provider Name: | IAN SEAN RUYBALID DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: | PT-2024-0271 |
Most Important Dates
| Enumeration Date: | 10/12/2017 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
2116 VISTA OESTE NW BLDG 3A
ALBUQUERQUE
NM
871204340
Practice Location Phone/Fax
| Phone: | 5058959353 |
| Fax: |
Provider Mailing Location
2116 VISTA OESTE NW BLDG 3A
ALBUQUERQUE
NM
871204340
Provider Mailing Phone/Fax
| Phone: | 5058959353 |
| Fax: |