| Doctor Name: | RYAN P MAHAR |
| NPI Number: | 1215934583 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 017392-1 |
| Business Practice Address: | 28 4th St Fair Haven, VT - 057431053 |
| Business Phone Number: | 8022654055 |
| Business Fax Number: | 8022658838 |
| Mailing Address: | 28 4th St, FAIR HAVEN |
| State: | VT |
| Postal Code: | 057431053 |
| Phone Number: | 8022654055 |
| Fax Number: | 8022658838 |
| NPI Enumeration Date: | 07/01/2005 |
| NPI Last Update Date: | 10/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/20/2006 |
| NPI Reactivation Date: | 03/29/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 017392-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |