Most Relevant Information
Provider Data
| NPI Number: | 1003195058 |
| Provider Name: | COURTNEY LYNN RICARD |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 007915 |
Most Important Dates
| Enumeration Date: | 08/09/2011 |
| Last Updated: | 08/09/2011 |
Provider Practice Location
9151 FRENCHMANS CREEK DR
PHOENIX
NY
131351537
Practice Location Phone/Fax
| Phone: | 3156955111 |
| Fax: |
Provider Mailing Location
9151 FRENCHMANS CREEK DR
PHOENIX
NY
131351537
Provider Mailing Phone/Fax
| Phone: | 3156955111 |
| Fax: |