Individual
MS. DONNA M RIDDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 LOVE LN, SOUTH DENNIS, MA 02660-3445
(508) 385-6034
Mailing address
22 PINE ST, SOUTH DENNIS, MA 02660-3614
(508) 493-5014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4299
MA
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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