Individual
MR. VICTOR JOHN RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
28312 GRAND TURK DR, DENHAM SPRINGS, LA 70726-7884
(985) 791-6643
Mailing address
28312 GRAND TURK DR, DENHAM SPRINGS, LA 70726
(985) 791-6643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06767F
LA
225100000X
Physical Therapist
1187689
TX
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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