Individual
JUSTIN RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
235 SINGLETON RIDGE RD STE 102, CONWAY, SC 29526-9136
(843) 353-3460
Mailing address
310 GOVERNOR GWINNETT WAY, POOLER, GA 31322-3809
(229) 425-5904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP048708T
SC
225100000X
Physical Therapist
PT017906
GA
Other
Enumeration date
07/02/2025
Last updated
08/18/2025
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