Individual
MRS. LAUREN ELIZABETH RICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
715 OCEAN TER, STATEN ISLAND, NY 10301-4542
(718) 390-1600
Mailing address
16 INDIAN TRL, MATAWAN, NJ 07747-2810
(917) 620-5455
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016900
NY
Other
Enumeration date
08/15/2011
Last updated
05/08/2019
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