Individual
KATIE RICKARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
26396 BAY FARM RD, MILLSBORO, DE 19966-4993
(302) 947-9662
(302) 947-9692
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-8850
(610) 859-7876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001594
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000044069
DPCI
—
05
—
1144260829
—
DE
01
—
3741922000
IBC
DE
01
—
7909330
AETNA
—
01
—
G02348D07
MEDICARE
—
01
—
P00137273
RAILROAD MEDICARE
DE
01
—
P00359638
RAILROAD MEDICARE
—
Enumeration date
06/08/2006
Last updated
02/23/2010
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