Individual
MS. LAUREL RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
692 RUBY JOHNSON DR, SCOTTSBORO, AL 35769-3633
(256) 647-1648
Mailing address
692 RUBY JOHNSON DR, SCOTTSBORO, AL 35769-3633
(256) 647-1648
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
0806
AL
225XG0600X
Gerontology Occupational Therapist
Primary
0806
AL
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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