Individual
MS. HOLLY JEAN RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
440 N RIVER ST, WILKES BARRE, PA 18702-2631
(570) 831-8622
Mailing address
700 WYOMING AVE, WEST PITTSTON, PA 18643-2739
(570) 655-6808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001390L
PA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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