Individual
MRS. KALINA MARIE RIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
485 W 1400 N, OREM, UT 84057-7000
(801) 426-4905
Mailing address
2013 STONELEIGH DR, DRAPER, UT 84020-5633
(402) 984-6234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2593
NE
225100000X
Physical Therapist
34868
CA
225100000X
Physical Therapist
Primary
7221459-2401
UT
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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