Individual
WYATT DORAN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(480) 599-9695
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
87592
AZ
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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