Individual
MR. COREY M RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
77 BATES ST, SUITE 201, LEWISTON, ME 04240-7637
(207) 795-8465
Mailing address
266 PARIS RD, HEBRON, ME 04238-3414
(207) 212-2185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT203
ME
Other
Enumeration date
05/28/2014
Last updated
03/25/2016
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