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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN MARY DENAULT-RIDGE, OTR

Active Sole Proprietor

KATHLEEN MARY DENAULT-RIDGE, OTR is a Occupational Therapist healthcare provider located in UPPER BLACK EDDY, Pennsylvania. NPI 1477126571 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · UPPER BLACK EDDY, PA

Registration Details

NPI Number
1477126571
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2021 (5.0702806207881 yrs)
Last Updated
Jul 19, 2021
Licenses
OC006675L (PA)
46TR00226900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
615 MARIENSTEIN RD
UPPER BLACK EDDY, PA, 189729635
Browse PA providers · Browse ZIP 18972
Phone
2679873928
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.