Individual
MISS DEANA MARIE RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
440 N RIVER ST, WILKES BARRE, PA 18702-2631
(570) 825-5611
Mailing address
332 VANESSA DR, HANOVER TOWNSHIP, PA 18706-3924
(570) 829-4947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017057
PA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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