Individual
RYANNE AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16413 N 91ST ST, SCOTTSDALE, AZ 85260-3048
(480) 849-7911
Mailing address
25428 N 63RD LN, PHOENIX, AZ 85083-1830
(561) 312-9631
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012767
AZ
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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