Individual
MRS. MARY LAURA RICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6608 HARRODS VIEW CIR, PROSPECT, KY 40059-9421
(317) 490-2024
Mailing address
6608 HARRODS VIEW CIR, PROSPECT, KY 40059-9421
(317) 490-2024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000646A
IN
225XP0200X
Pediatric Occupational Therapist
5201008592
MI
225XP0200X
Pediatric Occupational Therapist
KY-R5944
KY
Other
Enumeration date
03/14/2008
Last updated
07/30/2014
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