Individual
MS. DEBORAH RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
601 N MAIN ST, GLASSBORO, NJ 08028-1637
(856) 881-5800
(856) 881-3511
Mailing address
601 N MAIN ST, PO BOX 900, GLASSBORO, NJ 08028-1637
(856) 881-5800
(856) 881-3511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00150300
NJ
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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