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Organization
RISE PEDIATRIC THERAPIES QUEEN CREEK
Active
Organization
RISE PEDIATRIC THERAPIES QUEEN CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN COZZOLINO (COO)
(480) 389-4516
Entity
Organization
Contact information
Practice address
8743 E PECOS RD STE 110, MESA, AZ 85212-9303
(480) 295-4925
Mailing address
4554 E INVERNESS AVE, MESA, AZ 85206-4639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/22/2023
Last updated
02/23/2026
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