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Individual

MAGDALENE RIDENOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 SINGING QUAIL CT APT 382, COLUMBIA CITY, IN 46725-1263
(260) 452-0058
Mailing address
110 SINGING QUAIL CT APT 382, COLUMBIA CITY, IN 46725-1263
(260) 452-0058

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006355A
IN

Other

Enumeration date
11/15/2023
Last updated
11/15/2023
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