Individual
BENJAMIN RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
348 WARFIELD BLVD., SUITES C AND D, CLARKSVILLE, TN 37043
(931) 906-4170
Mailing address
600 CENTRAL AVE SE STE D, ALBUQUERQUE, NM 87102-4650
(505) 242-4494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11417
TN
225100000X
Physical Therapist
4235
NM
Other
Enumeration date
03/03/2015
Last updated
06/14/2018
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