Individual
MRS. NICKIE DEE ANN RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13083 TEJON CT, WESTMINSTER, CO 80234-3789
(720) 530-5469
Mailing address
13083 TEJON CT, WESTMINSTER, CO 80234-3789
(720) 530-5469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1025941
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71657754
—
CO
Enumeration date
08/01/2009
Last updated
08/01/2009
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