Ricka Jean Cutter, OTR

Individual provider Active NPI Pediatric Occupational Therapist · Greendale, IN

NPI 1508008632 · NPPES record last updated Sep 22, 2023

Key facts

NPI
1508008632
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
31004752A (IN)
Practice address
1161 Carroll Ave
Greendale, IN 47025-1227
Phone
(181) 265-5228
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

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
31004752AINMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 31004752A IN Yes

Addresses

Primary practice location

1161 Carroll Ave
Greendale, IN 47025-1227

Mailing address

1161 Carroll Ave
Greendale, IN 47025-1227
Phone (812) 655-2284

Other providers in Greendale, IN

All providers in Greendale, IN · Pediatric Occupational Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.