Individual
MIGUEL A. RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
325 MAINE, LAWRENCE, KS 66044
(785) 840-2712
Mailing address
19008 W 97TH TERR., LENEXA, KS 66220
(913) 768-1546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01771
KS
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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