Individual
HEATHER RIDENOURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
5103 S GROVE DR, ROGERS, AR 72758-8817
(479) 530-8699
Mailing address
5103 S GROVE DR, ROGERS, AR 72758-8817
(479) 530-8699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2068
AR
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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