SearchNorth Carolina224Z00000X

Jeffery Riddle, COTA/L

NPI 1861785198 · on the registry since 2011 · sole proprietor

Practice

Address
245 N Gordon Dr
Winston Salem, NC 27104
Phone
(336) 529-6835

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
251E00000X
261QR0401X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina