Individual
JANE RIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
21450
FL
Other
Enumeration date
12/18/2020
Last updated
11/23/2022
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