Individual
CAROLINE SUZANNE RICCITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
9957 ALLISONVILLE RD, FISHERS, IN 46038-2006
(317) 841-7005
Mailing address
10706 LANTERN RD APT 2204, FISHERS, IN 46038-3121
(317) 670-7292
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31007208A
IN
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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