Cyrus Ridenour

NPI #1184077299 in Tyler, Texas

Provider Information

NPI Number: 1184077299
Entity Type: Individual
Name: Cyrus Ridenour
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 13, 2016
Last Updated: Jul 13, 2016

Practice Location

Address: 700 S BOIS D ARC AVE
City: Tyler
State: Texas
ZIP Code: 75701-1503
Phone: (937) 441-4153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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