Individual
HOLLY RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
2422 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
(208) 457-8072
Mailing address
2422 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
(208) 457-8072
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-1056
ID
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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