Individual
LAUREN RIDGWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0001435
CO
224Z00000X
Occupational Therapy Assistant
4382
CA
Other
Enumeration date
05/10/2018
Last updated
04/12/2021
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