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JILL ANN RIDGE MS, OTR, CHT

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist

Provider NPI: 1417040049

Provider Information:
 JILL ANN RIDGE MS, OTR, CHT
Gender: F
Not Sole Proprietor

Practice Location:
8501 HARCOURT RD  INDIANAPOLIS, IN 46260 US
Tel: 317-875-9105  Fax: 317-875-8638

Business Mailing Address:
8501 HARCOURT RD  INDIANAPOLIS, IN 46260 US
Tel: 317-875-9105  Fax: 317-875-8638

NPI Information:
NPI: 1417040049
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
IN31003075A
N225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
IN31003075A

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM HEALTH PLAN00000018504901
RR MEDICAREP00708373IN01
MEDICARE PTAN062110023IN01
200250070IN05



American Medical Association 2012 taxonomy code information

Code: 225X00000X

Type:

Classification:



Definition:



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