Individual
DEANNA RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
244 RANIER DR, INMAN, SC 29349-6700
(864) 494-1452
Mailing address
244 RANIER DR, INMAN, SC 29349-6700
(864) 494-1452
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3133
SC
Other
Enumeration date
11/15/2012
Last updated
10/22/2023
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