Individual
DR. RACHELLE LEANN RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4740 COUNTY STREET 2780, MARLOW, OK 73055-6642
(580) 380-9503
Mailing address
4740 COUNTY STREET 2780, MARLOW, OK 73055-6642
(580) 380-9503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040055
NY
225100000X
Physical Therapist
15880
NC
225100000X
Physical Therapist
Primary
5031
OK
225100000X
Physical Therapist
7899
SC
Other
Enumeration date
08/24/2015
Last updated
05/05/2016
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