Individual
MR. ASHLEY RYAN BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
500 N BULLARD AVE, SUITE #27, GOODYEAR, AZ 85338-2533
(623) 986-5110
Mailing address
24794 W JONES AVE, BUCKEYE, AZ 85326-3356
(623) 693-1792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
#5352
AZ
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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