Individual
NANCY JO RICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5000
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PT00001026
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8407090
—
WA
Enumeration date
01/25/2007
Last updated
10/15/2007
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