Individual
LAURA BETH RIDDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9919 TOWNE RD, CARMEL, IN 46032-8260
(317) 872-4166
Mailing address
9919 TOWNE RD, CARMEL, IN 46032-8260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009653A
IN
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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