Individual
MR. RICHARD FRANKLIN ICKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7 TIERRA ROSA LN, CHICO, CA 95973-9184
(530) 342-3383
Mailing address
7 TIERRA ROSA LN, CHICO, CA 95973-9184
(530) 342-3383
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5235
CA
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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