Individual
BENJAMIN ADAM RIDLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1004 LITTLESTOWN PIKE, WESTMINSTER, MD 21157-3007
(410) 751-6858
Mailing address
1004 LITTLESTOWN PIKE, WESTMINSTER, MD 21157-3007
(410) 751-6858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3615
MD
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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