Individual
AUDRA P RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
485 HARTFORD RD, STE B, MANCHESTER, CT 06040-4869
(860) 646-1561
Mailing address
73 NEWTON RD, STE 101, PLAISTOW, NH 03865-2424
(978) 388-7272
(978) 388-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005548
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004210457
—
CT
01
—
5511600
AETNA INDIV PIN
—
01
—
650001233
MEDICARE PTAN
CT
01
—
ANTHEM
080005548CT11
—
Enumeration date
07/13/2006
Last updated
12/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us