Individual
CHRISTINA NICOLE RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 SUNSET DR, YOUNGSVILLE, NC 27596-9403
(919) 562-5550
Mailing address
332 KEY WEST MEWS, CARY, NC 27513-4180
(804) 837-2345
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13542
NC
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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