Individual
LEE RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1561
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
30167
AZ
Other
Enumeration date
08/24/2018
Last updated
12/15/2021
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