Individual
CONNOR LEE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
3336 E CHANDLER HEIGHTS RD, STE 126, GILBERT, AZ 85298-4259
(480) 840-6125
(480) 840-6122
Mailing address
1931 E ROSS DR, CHANDLER, AZ 85225-9040
(508) 864-5038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036910-1
NY
225100000X
Physical Therapist
20731
MA
225100000X
Physical Therapist
40QA01539700
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
12204PT
AZ
Other
Enumeration date
09/25/2014
Last updated
05/25/2016
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