Individual
RICCI DELORIEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18100 WOLF TRAP CT, GORDONSVILLE, VA 22942-8963
(434) 842-2916
Mailing address
18100 WOLF TRAP CT, GORDONSVILLE, VA 22942-8963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001707
VA
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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