Individual provider · Type 1 NPI

Charee' Rene' Riddle, PTA

Physical Therapy Assistant · Ada, OK

NPI number 1174730774 Active

Practice location

430 N Monte Vista St
Ada, OK 74820-4610

Fax (580) 421-1220

Mailing address

RR 1 Box 89J
Mill Creek, OK 74856-9734

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XTA1190 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1174730774

Charee' Rene' Riddle, PTA's National Provider Identifier is 1174730774, issued on May 16, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ada, OK. The record was last updated on Jul 8, 2007.