Kody Ricks, COTA/L

NPI #1477222891 in Rigby, Idaho

Provider Information

NPI Number
1477222891
Entity Type
Individual
Name
Kody Ricks, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Sep 9, 2021
Last Updated
Sep 9, 2021

Practice Location

Address
152 E MAIN ST STE 110
City
Rigby
State
Idaho
ZIP Code
83442-5268
Phone
(208) 745-7101

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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