Michelle Ely Ricardo, MOTR
Individual provider Active NPI Occupational Therapist · Lake Arrowhead, CA
NPI 1427259795 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1427259795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT1391 (CA)
- Practice address
- 29099 Hospital Road
106
Lake Arrowhead, CA 92352 - Phone
- (909) 337-0844
- NPI assigned
- May 31, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT1391 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1391 | CA | Yes |
Addresses
Primary practice location
29099 Hospital Road
106
Lake Arrowhead, CA 92352
Mailing address
29099 Hospital Road
106
Lake Arrowhead, CA 92352
Phone (909) 337-0844
Other providers in Lake Arrowhead, CA
- Darren Ream
- Jonathan Reed
- Refuge Inc
- Refuge Treatment Center Inc.
- George Anton Remisovsky
- Rim of the World Usd
- Martin Rocha
- San Bernardino Medical Orthopaedic Group, Inc.
- San Bernardino Mountains Community Hospital
- San Bernardino Mountains Community Hospital District
All providers in Lake Arrowhead, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.