Individual
KIMBERLY ALLISON RIDOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2201 N CENTRAL EXPY STE 110, RICHARDSON, TX 75080-2718
(214) 265-1819
Mailing address
3251 CLEARFORK TRAIL, FRISCO, TX 75034
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1147181
TX
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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