Individual
CARRIE RIDDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
813 KLINE CT, GOOCHLAND, VA 23063-3238
(804) 556-0147
Mailing address
813 KLINE CT, GOOCHLAND, VA 23063-3238
(804) 556-0147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006277
VA
Other
Enumeration date
10/14/2008
Last updated
01/29/2013
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