Individual
JESSICA FOWLER RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
59 OAKDALE RD, BREVARD, NC 28712-3017
(828) 966-9036
(828) 966-4538
Mailing address
20 COVAN CV, ASHEVILLE, NC 28803-5518
(828) 298-8249
(888) 511-1844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15532
NC
225100000X
Physical Therapist
2305208099
VA
Other
Enumeration date
10/22/2013
Last updated
02/24/2016
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