Individual
DARYL P RICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
15813 PAUL VEGA MD DR, SUITE 100, HAMMOND, LA 70403-1426
(985) 230-2663
(985) 230-2665
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-2663
(985) 230-2665
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
07589
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
LA
Enumeration date
02/05/2013
Last updated
02/05/2013
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