Lane Brooks Ricketts, OTR

NPI #1023681376 in Stevensville, Maryland

Provider Information

NPI Number: 1023681376
Entity Type: Individual
Name: Lane Brooks Ricketts, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jul 22, 2021
Last Updated: Jul 22, 2021

Practice Location

Address: 115 SALLITT DR
City: Stevensville
State: Maryland
ZIP Code: 21666-2156
Phone: (443) 249-3126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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