Individual
MRS. CHRISTEN LYNN RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, CBIS
Contact information
Practice address
1492 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
(616) 940-1055
Mailing address
1492 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
(616) 940-1055
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
1433
MI
225800000X
Recreation Therapist
Primary
23759
MI
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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