Individual
MS. LEA RICARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
83 PEARL ST, HYANNIS, MA 02601-3922
(508) 775-6240
Mailing address
PO BOX 1472, EDGARTOWN, MA 02539-1472
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8668
MA
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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