Doctor Name: | MS. AMY ROSE RYAN |
NPI Number: | 1144351883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR-L |
License Number: | 0933 |
Business Practice Address: | 6330 W Thunderbird Rd Glendale, AZ - 853064002 |
Business Phone Number: | 6234866000 |
Business Fax Number: | |
Mailing Address: | 13208 W Monte Vista Dr, GOODYEAR |
State: | AZ |
Postal Code: | 853382188 |
Phone Number: | 6239355201 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |