Individual
MRS. RUTH MARIE NIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8128 FLORIDA BLVD, TRITON HEALTHCARE INC, DENHAM SPRINGS, LA 70726
(225) 791-8666
Mailing address
6622 SANDSTONE AVE, BATON ROUGE, LA 70808-5119
(225) 766-4336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04387R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196612
MEDICARE PROVIDER
LA
Enumeration date
10/17/2007
Last updated
10/17/2007
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