| NPI | 1104922624 |
|---|---|
| Former Name | DANA EILEEN RIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OH 8850) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 8850PT) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-07-21 |