Individual
TREVOR JASON RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2895 ROOSEVELT AVE, BRONX, NY 10465-2415
(718) 233-8293
(718) 701-3133
Mailing address
577 ISHAM ST APT 3B, NEW YORK, NY 10034-2038
(917) 359-9103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011648
NY
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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