Individual
MRS. DEBORAH CHEYNE RIDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 FISHING LAKE DR, ODESSA, FL 33556-4009
(813) 760-1399
Mailing address
1527 FISHING LAKE DR, ODESSA, FL 33556-4009
(813) 760-1399
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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