Individual
JONA MARIE BENSCHOTER RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1042 W WHITTEN ST, CHANDLER, AZ 85224-7588
(480) 266-9463
Mailing address
1042 W WHITTEN ST, CHANDLER, AZ 85224-7588
(480) 266-9463
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0040
AZ
Other
Enumeration date
05/08/2022
Last updated
05/08/2022
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