Individual
ASHLEY GAIL RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
812 N CHARLOTTE ST, DICKSON, TN 37055-1009
(615) 446-8046
Mailing address
4712 OLD HIGHWAY 48, CUNNINGHAM, TN 37052-4903
(931) 801-7314
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3242
TN
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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