Organization · NPI-2

Esi Therapy, PC

Speech-Language Pathologist, · Queen Creek, AZ

NPI number1003984394
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1003984394
Entity type
Organization (NPI-2)
Legal business name
Esi Therapy, PC
Organization subpart
No
Enumeration date
Dec 3, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,DDD704011AZYes
225100000X Physical TherapistDDD704011AZ
225X00000X Occupational TherapistDDD704011AZ

Practice location

30230 N Royal Oak Way
Queen Creek, AZ 85243-4324

Phone 480-882-1737 · Fax 480-882-1915

Mailing address

30230 N Royal Oak Way
Queen Creek, AZ 85243-4324

Phone 480-882-1737 · Fax 480-882-1915

Authorized official

Ethelyn Ruddell
President
4808821737

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