Individual
MR. RICKY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3203
Mailing address
18511 HIGHLAND MEDICS ST, EL PASO, TX 79918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8063253-2401
UT
Other
Enumeration date
11/04/2011
Last updated
11/06/2023
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