Individual
CLAUDIA ANN RICKENBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15 BENT OAK RD, BEAUFORT, SC 29907-2627
(843) 322-8066
Mailing address
15 BENT OAK RD, BEAUFORT, SC 29907-2627
(843) 322-8066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2126
SC
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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