| Doctor Name: | MR. MARK ALLAN RITTER |
| NPI Number: | 1184885394 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OTR/L |
| License Number: | 2123 |
| Business Practice Address: | 505 Jacks Canyon Rd Sedona, AZ - 863517856 |
| Business Phone Number: | 9282842411 |
| Business Fax Number: | 9282842439 |
| Mailing Address: | 505 Jacks Canyon Rd, SEDONA |
| State: | AZ |
| Postal Code: | 863517856 |
| Phone Number: | 9282842411 |
| Fax Number: | 9282842439 |
| NPI Enumeration Date: | 06/19/2008 |
| NPI Last Update Date: | 06/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 2123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |