JEREMY RIDDLE

GREENBRIER, AR
NPI1740683044
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: AR  PT2331)
Enumeration Date2014-09-30
Last Update Date2014-09-30
Business Address
-- JEREMY RIDDLE PT
4 DOWNWIND AVE
GREENBRIER, AR 72058-9815
Phone number: 501-730-5445
Mailing Address
-- JEREMY RIDDLE PT
4 DOWNWIND AVE
GREENBRIER, AR 72058
Phone number: