Individual
THOMAS DAVID RITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 931-5800
(623) 931-8776
Mailing address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4139
AZ
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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