Provider / Organization | NPI | Date Certified |
---|---|---|
JONA MARIE BENSCHOTER RIDDLE | 1659017176 | 2022-05-08 |
Jona Marie Benschoter Riddle is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659017176. Registration indicates Jona Marie Benschoter Riddle is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapy Assistant (Occupational Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Jona Marie Benschoter Riddle COTA/L |
Practice Office Address | 1042 W WHITTEN ST CHANDLER, AZ US |
Practice Office Telephone | 4802669463 |
Mailing Address | 1042 W WHITTEN ST CHANDLER, AZ 852247588 US |
Business Telephone | 4802669463 |
Code | Practice | License No State |
---|---|---|
224Z00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant Occupational Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 0040
AZ |