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CHARLES RIDDLE, DPT
DPT
Physical Therapist
NPI: 1366536609IndividualAccepts Medicare
Specialties, Licenses & Credentials
Specialist
Specialist
Code: 174400000X
RPT-1978(ID)
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
PT-1978(ID)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2005
Contact & Hours
- Address
- 1626 S WELLS AVE STE 105
MERIDIAN, ID 83642 - Phone
- (208) 789-0200
Quick Facts
- NPI
- 1366536609
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 21
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