Organization
PT SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED RICCI MOT,OTR/L (OWNER)
(412) 400-3448
Entity
Organization
Contact information
Practice address
8138 BRITTANY PL, PITTSBURGH, PA 15237-6307
(412) 400-3448
Mailing address
8138 BRITTANY PL, PITTSBURGH, PA 15237-6307
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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