Individual
MRS. DONNA RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16040 GODDARD RD, ALLEN PARK, MI 48101-3304
(734) 785-7705
(734) 287-8221
Mailing address
16040 GODDARD, ALLEN PARK, MI 48101
(734) 785-7705
(734) 287-8221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201000508
MI
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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