Jacob Paul Riccardi, OTRL
Jacob Paul Riccardi, OTRL is an Occupational Therapist in Fairhaven, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2014
Practice location Address checks out
184 Main StFairhaven, MA 02719 Not confirmed with CMS for 11 years — call before visiting
Phone: (508) 997-3193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 11218 (MA) |
|---|
Record details
| NPI number | 1093110868 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTRL |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2014 |
| Last updated in NPPES | October 23, 2014 |
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