Individual
MRS. HEATHER MARIE RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
7042 MOORE CT, SHELBY TOWNSHIP, MI 48317-6340
(248) 219-1533
Mailing address
7042 MOORE CT, SHELBY TOWNSHIP, MI 48317-6340
(248) 219-1533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012090
MI
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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