Individual
CRYSTAL DAWN RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
53 SUMMIT DR, CLINTON, IN 47842-7365
(812) 631-8302
Mailing address
53 SUMMIT DR, CLINTON, IN 47842-7365
(812) 631-8302
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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