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1912116757
HEATHER RIDER
FAIRMONT, WV
NPI
1912116757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: WV 002156)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- HEATHER RIDER PT
1 HIDDEN TRAILS ESTATE
FAIRMONT, WV 26554
Phone number: 304-476-1015
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Mailing Address
-- HEATHER RIDER PT
1 HIDDEN TRAILS ESTATE
FAIRMONT, WV 26554
Phone number: 304-476-1015
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