Ana Desirae Ridener, MOT

NPI #1205119401 in Pocatello, Idaho

Provider Information

NPI Number: 1205119401
Entity Type: Individual
Name: Ana Desirae Ridener, MOT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOT
Enumeration Date: Sep 23, 2011
Last Updated: Sep 23, 2011

Practice Location

Address: 1071 RENEE AVE
City: Pocatello
State: Idaho
ZIP Code: 83201-2508
Phone: (208) 233-1441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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