Dantanese Ridgell, PTA

NPI #1588385207 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1588385207
Entity Type: Individual
Name: Dantanese Ridgell, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 9, 2022
Last Updated: Sep 9, 2022

Practice Location

Address: 6301 S HAZEL ST
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-7818
Phone: (870) 534-8153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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