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Individual

ASHLEE D RICOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1350 E WOODROW WILSON AVE, JACKSON, MS 39216-5112
(601) 981-2611
Mailing address
1350 E WOODROW WILSON AVE, JACKSON, MS 39216-5112
(601) 981-2611

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1633
MS

Other

Enumeration date
04/25/2008
Last updated
04/25/2008
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