Individual
CHEYENNE L RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
113 AZALEA DR, MOORESVILLE, IN 46158-2053
(812) 560-9138
Mailing address
113 AZALEA DR, MOORESVILLE, IN 46158-2053
(317) 513-1986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
06/02/2025
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