Individual
MR. ADAM RIDGDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
727 SE MAIN ST, STE 200, SIMPSONVILLE, SC 29681-3247
(630) 296-2223
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT019622
PA
2251G0304X
Geriatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
03/13/2013
Last updated
11/18/2015
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