Individual
BEATRICE A RIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
619 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4448
(812) 232-3504
Mailing address
6918 N PRIVATE ROAD 70 W, BRAZIL, IN 47834-8331
(309) 912-4858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009320A
IN
Other
Enumeration date
04/14/2010
Last updated
09/28/2016
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