Individual
BOYD S RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3110 CLEVELAND BLVD, BLDG A SUITE 5, CALDWELL, ID 83605-0718
(208) 453-8785
(208) 453-8776
Mailing address
3110 CLEVELAND BLVD, BLDG A SUITE 5, CALDWELL, ID 83605-0718
(208) 453-8785
(208) 453-8776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-810
ID
Other
Enumeration date
03/08/2007
Last updated
11/19/2007
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