Individual
NANCY BICKHAM RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5637 COMMERCE STREET, SAINT FRANCISVILLE, LA 70775
(225) 245-5170
Mailing address
4737 US HIGHWAY 61, SAINT FRANCISVILLE, LA 70775-7456
(225) 721-7828
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
311845
LA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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