Individual
RICHARD THEODORE CICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1730 DIAMOND ST, ANDERSON, CA 96007-2930
(530) 722-7140
Mailing address
1730 DIAMOND ST, ANDERSON, CA 96007-2930
(530) 215-7676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1652
CA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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