Individual
MRS. PHYLLIS RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14 CORTLAND SHIRE DR, MOORESTOWN, NJ 08057-3944
(609) 760-4094
Mailing address
14 CORTLAND SHIRE DR, MOORESTOWN, NJ 08057-3944
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT005093L
PA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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