Most Relevant Information
Provider Data
| NPI Number: | 1003413659 |
| Provider Name: | RYAN MARK MCCLINTOCK |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | TEI002997 |
Most Important Dates
| Enumeration Date: | 10/07/2020 |
| Last Updated: | 10/07/2020 |
Provider Practice Location
410 TERRACE DR
UNIONTOWN
PA
154018991
Practice Location Phone/Fax
| Phone: | 7244306000 |
| Fax: |
Provider Mailing Location
410 TERRACE DR
UNIONTOWN
PA
154018991
Provider Mailing Phone/Fax
| Phone: | 7244306000 |
| Fax: |