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General NPI Number Information
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NPI Number | 1235718560
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Entity Type | Individual
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Provider Name | BRIGITTA RYAN PT DPT
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 21321 EAST OCOTILLO RD SUITE I122
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City | QUEEN CREEK
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State | AZ
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Zip | 85142
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Country | US
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Telephone | 480-309-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 1994 W TOBIAS WAY
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City | QUEEN CREEK
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State | AZ
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Zip | 85144-4513
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Country | US
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Telephone | 480-309-3660
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-31679
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License Number State | AZ
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