Individual
JENNIFER NOELLE RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 CORTEZ RD W, BRADENTON, FL 34210-2604
(941) 761-3499
Mailing address
635 ESTUARY DR, BRADENTON, FL 34209-7320
(941) 792-1425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10765
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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