Individual
MRS. KAYLA LYNN RIDGELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
230 E CIVIC CENTER DR APT 2038, GILBERT, AZ 85296
(717) 586-6226
Mailing address
230 E CIVIC CENTER DR APT 2038, GILBERT, AZ 85296-0101
(717) 586-6226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008439
PA
Other
Enumeration date
08/29/2016
Last updated
06/13/2018
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