Individual
THOMAS RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
17191 WRIGLEY CIR, FORT MYERS, FL 33908-3803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1739
FL
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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