Individual
KATHLEEN MARY DENAULT-RIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
615 MARIENSTEIN RD, UPPER BLACK EDDY, PA 18972-9635
(267) 987-3928
Mailing address
615 MARIENSTEIN RD, UPPER BLACK EDDY, PA 18972-9635
(267) 987-3928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00226900
NJ
225X00000X
Occupational Therapist
Primary
OC006675L
PA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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