Individual
MYA ANN SWAN RUEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
16515 S 40TH ST, SUITE 133, PHOENIX, AZ 85048-0558
(602) 206-8261
(602) 206-8261
Mailing address
16044 S 18TH AVE, PHOENIX, AZ 85045-1752
(602) 206-8261
(602) 206-8261
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6572
AZ
Other
Enumeration date
07/11/2007
Last updated
11/21/2008
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