Individual
MRS. RISA RIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 N 39TH AVE, HOLLYWOOD, FL 33021-1808
(848) 525-7703
Mailing address
3900 N 39TH AVE, HOLLYWOOD, FL 33021-1808
(848) 525-7703
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
26842
FL
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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