Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2123 | AZ |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 2123 | AZ |
N | 225XR0403X | Driving and Community Mobility | 2123 | AZ |
NPI | 1184885394 |
---|---|
Provider Name | Mr. Mark Allan Ritter |
First Address | Sedona, AZ 86351-7856 |
Second Address | Sedona, AZ 86351-7856 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 19/06/2008 |