Theresa Anne Ricketts, PT, MS Valid NPI
Individual provider · Pediatric Physical Therapist · Royal Oak, MI
- NPI
- 1093212656
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Physical Therapist (Physical Therapist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2251P0200X
- License number
- 5501003204 (MI)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-04-10
- Last updated
- 2018-04-10
Practice location
4949 Coolidge Hwy
Royal Oak, MI 48073-1026
(248) 655-5660