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Individual

CAROLINA MARIA RIDGWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
100 NE TUDOR RD STE 110, LEES SUMMIT, MO 64086-5601
(816) 554-6003
Mailing address
9350 BRITTON ST APT 10204, LENEXA, KS 66219-2554
(314) 791-7077

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017026655
MO

Other

Enumeration date
07/31/2017
Last updated
02/17/2021
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