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Individual

TAWANNA M RICKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
500 JOHN ALDRIDGE DRIVE, TUSCUMBIA, AL 35674-8912
(256) 383-4541
Mailing address
147 COUNTY FARM RD, TUSCUMBIA, AL 35674-8912
(256) 383-4541

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1320
AL

Other

Enumeration date
11/27/2012
Last updated
11/27/2012
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