JEFFERY GEORGE RIDDLE

WINSTON SALEM, NC
NPI1861785198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  0999)
Additional Taxonomies251E00000X Home Health
(Licence: NC  0999)
261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
(Licence: NC  0999)
Enumeration Date2011-05-19
Last Update Date2011-05-19
Business Address
MR. JEFFERY GEORGE RIDDLE COTA/L
245 N GORDON DR
WINSTON SALEM, NC 27104-2822
Phone number: 336-529-6835
Mailing Address
MR. JEFFERY GEORGE RIDDLE COTA/L
245 N GORDON DR
WINSTON SALEM, NC 27104-2822
Phone number: 336-529-6836