Individual
RENEE BETH RIDEOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 CARTWRIGHT AVE, SIDNEY, NY 13838-1206
(607) 563-2929
Mailing address
4 CARTWRIGHT AVE, SIDNEY, NY 13838-1206
(607) 563-2929
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
004459-1
NY
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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