Organization
EVEREST PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA RUDDELL CCC-SLP (CEO)
(480) 734-5595
Entity
Organization
Contact information
Practice address
4864 E BASELINE RD STE 105, MESA, AZ 85206-4629
(480) 734-5595
(480) 633-6086
Mailing address
4864 E BASELINE RD STE 105, MESA, AZ 85206-4629
(480) 734-5595
(480) 633-6086
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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