Individual
MRS. JOANNA M RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
STRIDES PEDIATRIC THERAPY, 7738 N OWASSO EXPWY, OWASSO, OK 74055
(918) 928-4255
(918) 928-4258
Mailing address
7738 N OWASSO EXPWY, OWASSO, OK 74055
(918) 928-4255
(918) 928-4258
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1617
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200952900A
—
OK
Enumeration date
10/30/2015
Last updated
05/10/2021
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