Valrie V Ricketts, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Delta, PA

NPI 1154553188 · NPPES record last updated May 22, 2013

Key facts

NPI
1154553188
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
A00658 (MD)
Practice address
85 Misty Hill Dr
Delta, PA 17314-7903
Phone
(443) 226-0618
Fax
(717) 456-5354
NPI assigned
Aug 9, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A00658MDMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A00658 MD Yes

Addresses

Primary practice location

85 Misty Hill Dr
Delta, PA 17314-7903

Mailing address

85 Misty Hill Dr
Delta, PA 17314-7903
Phone (443) 226-0618

Other names

  • Mrs. Valrie V Ricketts Other name

Other providers in Delta, PA

All providers in Delta, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.