Individual
CHRISTOPHER TYLER RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2503 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9401
(919) 734-1311
Mailing address
4497 HINNANT EDGERTON RD, SELMA, NC 27576-5956
(919) 634-5102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21499
NC
Other
Enumeration date
08/13/2022
Last updated
08/13/2022
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