HOLLY RIDGWAY

POST FALLS, ID
NPI1548554868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  ot-1056)
Enumeration Date2011-06-03
Last Update Date2011-06-03
Business Address
-- HOLLY RIDGWAY mot otr/l
2422 PARTRIDGE LOOP
POST FALLS, ID 83854-4944
Phone number: 208-457-8072
Mailing Address
-- HOLLY RIDGWAY mot otr/l
2422 PARTRIDGE LOOP
POST FALLS, ID 83854-4944
Phone number: 208-457-8072