Individual
MIRANDA RIDGWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 RIVANNA RUN, FALLING WATERS, WV 25419-4329
(814) 494-4714
Mailing address
713 RIVANNA RUN, FALLING WATERS, WV 25419-4329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5083
MD
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
09/14/2020
Last updated
11/27/2023
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