Individual
MS. AMY ROSE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
13208 W MONTE VISTA DR, GOODYEAR, AZ 85338-2188
(623) 935-5201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0933
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317679
—
AZ
Enumeration date
03/07/2007
Last updated
07/09/2007
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