Ana Desirae Ridener, MOT
Ana Desirae Ridener, MOT is an Occupational Therapist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
Practice location Address checks out
1071 Renee AvePocatello, ID 83201-2508
Phone: (208) 233-1441
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT-1081 (ID) |
|---|
Record details
| NPI number | 1205119401 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MOT |
| Sole proprietor | No |
| NPI enumerated | September 23, 2011 |
| Last updated in NPPES | September 23, 2011 |
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