Organization
ESI THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ETHELYN RUDDELL OTR (PRESIDENT)
(480) 882-1737
Entity
Organization
Contact information
Practice address
30230 N ROYAL OAK WAY, QUEEN CREEK, AZ 85243-4324
(480) 882-1737
(480) 882-1915
Mailing address
30230 N ROYAL OAK WAY, QUEEN CREEK, AZ 85243-4324
(480) 882-1737
(480) 882-1915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DDD704011
AZ
225X00000X
Occupational Therapist
DDD704011
AZ
235Z00000X
Speech-Language Pathologist
Primary
DDD704011
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
794398
—
AZ
Enumeration date
12/03/2006
Last updated
09/11/2025
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