Individual
DIANE RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3833 ATTUCKS DR, SUITE B, POWELL, OH 43065-6082
(614) 793-8720
(614) 783-8722
Mailing address
3833 ATTUCKS DR, SUITE B, POWELL, OH 43065-6082
(614) 793-8720
(614) 783-8722
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2046
OH
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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