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Individual

MS. JULIE ANN RIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2142 RIDGE HAVEN CT, DE PERE, WI 54115-7982
(920) 328-3701
Mailing address
2142 RIDGE HAVEN CT, DE PERE, WI 54115-7982
(920) 328-3701

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4533-026
WI

Other

Enumeration date
10/10/2006
Last updated
09/16/2013
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