MR. Charles Paul Ricketson, OTRL

NPI #1871662247 in Brandon, Florida

Provider Information

NPI Number: 1871662247
Entity Type: Individual
Name: MR. Charles Paul Ricketson, OTRL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Nov 7, 2006
Last Updated: Apr 15, 2008

Practice Location

Address: 807 S PARSONS AVE
City: Brandon
State: Florida
ZIP Code: 33511-6063
Phone: (813) 684-8141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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