Individual
LORIBETH RIDENOUR MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. L-PTA
Contact information
Practice address
400 CLOCKTOWER RIDGE DR, WINCHESTER, VA 22603-3878
(540) 431-2800
Mailing address
113 STOUFFER AVE, HAGERSTOWN, MD 21740-6613
(301) 739-0418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
WVPTA002672
WV
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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