Individual
CLIFFORD FRANCIS RIDEOUT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11974 EDGEHILL TERRACE RD, PRINCESS ANNE, MD 21853-2105
(401) 651-0021
Mailing address
86 MAPLEWOOD AVE, GLOUCESTER, MA 01930-2732
(978) 578-2506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7845
MA
225100000X
Physical Therapist
A4671
MD
Other
Enumeration date
06/05/2017
Last updated
08/21/2020
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