Theresa Anne Ricketts
Physical Therapist - Pediatrics
4949 Coolidge Hwy
Royal Oak
, Michigan 48073-1026
Theresa Anne Ricketts
Physical Therapist - Pediatrics
4949 Coolidge Hwy
Royal Oak
, Michigan 48073-1026
(248) 655-5660
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Theresa Anne Ricketts
- 4949 Coolidge Hwy
- Royal Oak, MI
- Zip : 48073-1026
- Phone : (248) 655-5660
Second Address
- Theresa Anne Ricketts
- 4949 Coolidge Hwy
- Royal Oak, MI
- Zip : 48073-1026
- Phone : (248) 655-5660
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 5501003204 | MI |
National Provider Identifier
| NPI | 1093212656 |
|---|---|
| Provider Name | Theresa Anne Ricketts |
| First Address | Royal Oak, MI 48073-1026 |
| Second Address | Royal Oak, MI 48073-1026 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2018 |
| Last Update Date | 10/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.