NPI 1588385207
Dantanese Ridgell, PTA
Practice location
- Address
- 6301 S Hazel St, Pine Bluff, AR 71603-7818
- Phone
- (870) 534-8153
- Mailing address
- 238 Carpenter Rd, Monticello, AR 71655-9190
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1588385207
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Sep 2022
- Record last updated
- 9 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.