Individual
MERIDETH RIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3301 W PARK ROW BLVD, CORSICANA, TX 75110-4846
(903) 872-2455
(903) 874-7286
Mailing address
300 SW COUNTY ROAD 1005, CORSICANA, TX 75110-8612
(903) 229-3657
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214475
TX
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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