Individual
MRS. TARA ROCHELLE RIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
411 WESTERN ROW RD, MASON, OH 45040-1438
(937) 802-3108
Mailing address
549 CHATHAM PL, TRENTON, OH 45067-3100
(937) 405-7098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013291
OH
Other
Enumeration date
02/20/2023
Last updated
04/20/2026
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