Individual
BRANDY SUSANN RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2201 11TH AVE, HALEYVILLE, AL 35565-1613
(205) 486-9478
Mailing address
270 COUNTY ROAD 51, HALEYVILLE, AL 35565-7135
(205) 486-3141
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2562
AL
Other
Enumeration date
07/04/2007
Last updated
07/08/2007
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