Jacob Paul Riccardi, OTRL

NPI #1093110868 in Fairhaven, Massachusetts

Provider Information

NPI Number: 1093110868
Entity Type: Individual
Name: Jacob Paul Riccardi, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Oct 23, 2014
Last Updated: Oct 23, 2014

Practice Location

Address: 184 MAIN STREET
City: Fairhaven
State: Massachusetts
ZIP Code: 02719
Phone: (508) 997-3193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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