Ryan Bibeau, DPT, CSCS
Physical Therapist in Columbia, MD. Individual provider (NPI-1).
NPI number1013608892
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1013608892
- Entity type
- Individual (NPI-1)
- Name
- Ryan Bibeau
- Credential
- DPT, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2023
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
8895 McGaw Rd Ste GColumbia, MD 21045-4746
Phone 443-441-0616
Mailing address
1701 Matisse CtSevern, MD 21144-1632
Phone 410-903-2004
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