Most Relevant Information
Provider Data
| NPI Number: | 1003350901 |
| Provider Name: | TROY RIDGEWAY |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT.0004839 |
Most Important Dates
| Enumeration Date: | 12/12/2016 |
| Last Updated: | 12/06/2023 |
Provider Practice Location
1025 9TH AVE
GREELEY
CO
806314039
Practice Location Phone/Fax
| Phone: | 9703486000 |
| Fax: |
Provider Mailing Location
1316 COPELAND FALLS RD
SEVERANCE
CO
805502894
Provider Mailing Phone/Fax
| Phone: | 3073150423 |
| Fax: |