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Miranda Ridgway

Physical Therapy Assistant in Falling Waters, WV. Individual provider (NPI-1).

NPI number1033724331
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1033724331
Entity type
Individual (NPI-1)
Name
Miranda Ridgway
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 14, 2020
Certification date
Sep 14, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantA5083MDYes
225200000X Physical Therapy Assistant––

Practice location

713 Rivanna Run
Falling Waters, WV 25419-4329

Phone 814-494-4714

Mailing address

713 Rivanna Run
Falling Waters, WV 25419-4329

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