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Individual

MS. ANITA RICKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-4628
(505) 727-9515
Mailing address
4716 HAINES AVE NE, ALBUQUERQUE, NM 87110-5007
(505) 715-8386

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1521
NM

Other

Enumeration date
10/21/2015
Last updated
10/21/2015
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