Healthcare Provider Details

I. General information

NPI: 1356369607
Provider Name (Legal Business Name): JOALICE RYAN MOTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8541 E ANDERSON DR STE 100
SCOTTSDALE AZ
85255-5430
US

IV. Provider business mailing address

8541 E ANDERSON DR STE 100
SCOTTSDALE AZ
85255-5430
US

V. Phone/Fax

Practice location:
  • Phone: 480-585-6810
  • Fax: 480-585-6910
Mailing address:
  • Phone: 480-585-6810
  • Fax: 480-585-6910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOTH-005912
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: