IndividualActive
Ana Ridener, MOT
NPI 1205119401 · Occupational Therapist · Pocatello, ID
Provider details
- NPI number
- 1205119401
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT
- Sex
- Female
- Sole proprietor
- No
- License
- OT-1081 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1071 Renee Ave
Pocatello, ID 83201-2508
Phone: (208) 233-1441
Approximate (ZIP-level) locationGet directions
Mailing address
25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697
Registry dates
- Enumerated
- 2011-09-23
- Last updated
- 2011-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.