Individual
KRISTINE ALYSSE RICOSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
730 CARNATION DR, VACAVILLE, CA 95687-8268
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
24198
CA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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