Individual
RICHARD DAVID RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
36261 OKEFENOKEE DR, FOLKSTON, GA 31537-7853
(912) 496-7396
Mailing address
36261 OKEFENOKEE DR, FOLKSTON, GA 31537-7853
(912) 496-7396
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003267
GA
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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