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Individual

DEBBIE A RIEDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
1101 SPRUCE ST, ELLIS, KS 67637-1757
(615) 896-6400
Mailing address
525 N 9TH ST, WAKEENEY, KS 67672-1712
(615) 896-6400

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800200
KS

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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