Individual
MRS. JAIME LYNNE RICORDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
900 TUCK ST, LEBANON, PA 17042-7446
(717) 273-8595
Mailing address
28 CHARLTON RD, HARRISBURG, PA 17112-3319
(717) 540-5432
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005785
PA
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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