Doctor Name: | CONNOR LEE RYAN |
NPI Number: | 1073915666 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, CSCS |
License Number: | 036910-1 |
Business Practice Address: | 3336 E Chandler Heights Rd Ste 126 Gilbert, AZ - 852984259 |
Business Phone Number: | 4808406125 |
Business Fax Number: | 4808406122 |
Mailing Address: | 1931 E Ross Dr, CHANDLER |
State: | AZ |
Postal Code: | 852259040 |
Phone Number: | 5088645038 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2014 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 036910-1 |
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 |