Search › Arizona › Physical Disabilities Residential Treatment Facility
Amanda Ellis
NPI 1194198697 · on the registry since 2015 · sole proprietor
Practice
- Address
- 381 East Brook Street
San Tan Valley, AZ 85140 - Phone
- (480) 495-2839
Registry record
- Primary taxonomy
- Physical Disabilities Residential Treatment Facility
320700000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona