Individual
JONETTE RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 834-9800
Mailing address
3213 DOLORES AVE, TOLEDO, OH 43607-2725
(989) 484-1118
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605030
VA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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