Individual
KAREN M RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 588-0811
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 588-0811
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102628
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52F47RI
BCBS MINNESOTA
—
01
—
6402279
MEDICA
—
01
—
HP41322
HEALTHPARTNERS
—
Enumeration date
10/06/2006
Last updated
07/08/2007
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