Individual
DIEDRA LYNNETTE RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PT
Contact information
Practice address
101 MANNING DR, DEPT OF PHYSICAL THERAPY, CHAPEL HILL, NC 27514-4220
(919) 966-1186
(919) 966-0348
Mailing address
211 FRIDAY CENTER DR, SUITE 2091, ROOM 2012, CHAPEL HILL, NC 27517-9499
(919) 966-0420
(919) 966-9983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9178
NC
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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