Individual
KATHRYN SYDNEY RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8116 RITCHIE HWY, PASADENA, MD 21122-6916
(443) 261-2220
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23500
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800312200
—
MD
01
—
P01187669
MEDICARE RR
MD
Enumeration date
01/03/2011
Last updated
03/10/2015
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