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Contact Information

PHYLLIS RICKETTS, PT
14 CORTLAND SHIRE DR
MOORESTOWN, NJ08057-3944
 Phone: 609-760-4094
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

2081H0002X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for PHYLLIS RICKETTS · (Female)

NPI # 1770705014
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/03/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PT005093L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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