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NPI Code Detail

MEDICARE: MRS. ELIZABETH MARIE RICK

MEDICARE:  MRS. ELIZABETH MARIE RICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOT008409OH

General Provider Information

NPI Number : 1215204896
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH MARIE RICK
Provider Business Mailing Address
First Line : 3430 BURNET AVE # 4007
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2833
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3430 BURNET AVE # 4007
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2833
Country : US
Telephone Number : 513-636-4651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2011
Last Update Date : 11/02/2018

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Directions to “ MRS. ELIZABETH MARIE RICK ” Practice Location

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