Individual
JACOB RICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2805 CHARLES BRYAN RD, BARTLETT, TN 38134-4756
(901) 386-3211
Mailing address
505 PLEASANT GROVE FWY APT 301, CORDOVA, TN 38018-2244
(901) 337-7237
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6010
TN
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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