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Individual

KRISTI WATSON RICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3200 S. UNIVERSITY DRIVE, FORT LAUDERDALE, FL 33328-2018
(954) 262-4149
(954) 262-1788
Mailing address
3200 S. UNIVERSITY DRIVE, FORT LAUDERDALE, FL 33328-2018
(954) 262-4149
(954) 262-1788

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10459
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
887454900
FL
Enumeration date
09/14/2012
Last updated
09/14/2012
About Stedi
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  • EDI platform