Provider Demographics
NPI:1659801603
Name:RIDDERING, ANNE T (PHD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:T
Last Name:RIDDERING
Suffix:
Gender:F
Credentials:PHD, OTR/L
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Mailing Address - Street 1:29200 SCHOOLCRAFT ROAD
Mailing Address - Street 2:VISION REHABILITATION
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2228
Mailing Address - Country:US
Mailing Address - Phone:734-523-1070
Mailing Address - Fax:734-523-1080
Practice Address - Street 1:29200 SCHOOLCRAFT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2228
Practice Address - Country:US
Practice Address - Phone:734-523-1070
Practice Address - Fax:734-523-1080
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5201000419225XG0600X, 225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology