Individual
MICHELLE RIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
815 E LUTZ RD, ARCHBOLD, OH 43502-3211
(419) 446-9144
(419) 446-9146
Mailing address
815 E LUTZ RD, ARCHBOLD, OH 43502-3211
(419) 446-9144
(419) 446-9146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06773
OH
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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