Individual
MS. DEBORAH ANN RICKLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
18 MAPLEWOOD ST, LONGMEADOW, MA 01106-3310
(413) 567-6300
(413) 567-6300
Mailing address
18 MAPLEWOOD ST, LONGMEADOW, MA 01106-3310
(413) 567-6300
(413) 567-6300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2519
MA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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