Individual
MRS. HEATHER MAUREEN RICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
595 VALLEY STREET, WILLIMANTIC, CT 06226
(860) 450-7060
Mailing address
146 OLIVER ROAD, LEBANON, CT 06249
(860) 642-7363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000329
CT
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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