Individual
KRISTINE RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1403 HONAKER AVE, PRINCETON, WV 24740-3065
(304) 487-1551
(304) 487-3047
Mailing address
1403 HONAKER AVE, PRINCETON, WV 24740-3065
(304) 487-1551
(304) 487-3047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1912
WV
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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