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Individual

MELISSA RICKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1151 S MAIN ST, WAKE FOREST, NC 27587-9646
(919) 554-8768
Mailing address
22 WOODBURY AVE, LYNN, MA 01905-1034

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3608
MA
225X00000X
Occupational Therapist
Primary
15086
NC

Other

Enumeration date
11/24/2021
Last updated
05/03/2023
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