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1144656745
LISA RICKETTS
AUSTIN, TX
NPI
1144656745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: TX 105992)
Enumeration Date
2013-09-16
Last Update Date
2013-09-16
Business Address
-- LISA RICKETTS
3607 MANCHACA RD
AUSTIN, TX 78704-5947
Phone number: 512-444-7215
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Mailing Address
-- LISA RICKETTS
3607 MANCHACA RD
AUSTIN, TX 78704-5947
Phone number: 512-444-7215
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