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Individual

DANIELLE J RIDLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
810 W COLUMBIA ST, OBERLIN, KS 67749-2450
(785) 475-2208
Mailing address
810 W COLUMBIA ST, OBERLIN, KS 67749-2450
(785) 475-2208

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02409
KS

Other

Enumeration date
10/17/2014
Last updated
10/17/2014
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