Individual
MS. EMILY MARY RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
Mailing address
1800 W MEYER LN APT 15301, OAK CREEK, WI 53154-8128
(414) 412-3754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2149
WI
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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