NPI 1538600069

Ryan Pane, CO

Practitioner Orthotist Trumbull, CT

Practice location

Address: 115 Technology Dr Sutie Cp102, Trumbull, CT 06611-6337
Phone: (203) 261-1162

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 000833577I (CT)

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Registry record

NPI: 1538600069
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2017
Record last updated: 16 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.