MEDICARE: ROBERTO RICCI OTR, MS

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1871702019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTO RICCI OTR, MS

Provider Business Mailing Address
First Line	:	7606 N UNION BLVD STE 100A
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3873
Country	:	US
Telephone Number	:	719-387-8389
Fax Number	:	888-391-5189

Provider Business Practice Location Address
First Line	:	7606 N UNION BLVD STE 100A
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3873
Country	:	US
Telephone Number	:	719-387-8389
Fax Number	:	888-391-5189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	06/26/2023

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