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Individual

ANDREW SCOTT RIDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-7200
Mailing address
240 E 7800 S, MIDVALE, UT 84047-2615
(801) 580-7856

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
9059291-2401
UT

Other

Enumeration date
05/18/2016
Last updated
12/01/2021
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