Individual
MR. NATHAN B RICKERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
705 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821-2110
(608) 357-2000
(608) 357-2254
Mailing address
705 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821-2110
(608) 357-2000
(608) 357-2254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1996026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40720200
—
WI
Enumeration date
01/10/2007
Last updated
07/08/2007
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