Individual
MS. FAITH S. RICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1705 VIOLA ST., MANDEVILLE, LA 70448
(985) 674-1998
(985) 674-9799
Mailing address
208 CHESTNUT ST, MANDEVILLE, LA 70471-3004
(985) 674-1998
(985) 674-9799
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
OTT.Z10221
LA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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