Individual
STACY-ANN RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 W STATE ROAD 84 UNIT 308, DAVIE, FL 33312-8865
(407) 580-3906
Mailing address
3901 W STATE ROAD 84 UNIT 308, DAVIE, FL 33312-8865
(407) 580-3906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10920
FL
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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