Edwin Dave Ricketts, OTR/L | |
6177 River Crest Dr, #a, Riverside, CA 92507-0728 | |
(951) 653-4480 | |
(951) 653-5051 |
Full Name | Edwin Dave Ricketts |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 31 Years |
Location | 6177 River Crest Dr, Riverside, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023435708 | NPI | - | NPPES |
OT7710 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT 7710 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Coast Spine Restoration Center Inc | 7214824648 | 18 |
Provider Name | West Coast Spine Restoration Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992887616 PECOS PAC ID: 7214824648 Enrollment ID: O20040301001265 |
Mailing Address | Practice Location Address |
---|---|
Edwin Dave Ricketts, OTR/L 14033 Montecito Dr, Victorville, CA 92395-4718 Ph: () - | Edwin Dave Ricketts, OTR/L 6177 River Crest Dr, #a, Riverside, CA 92507-0728 Ph: (951) 653-4480 |
Ana-karina Anderson Nguyen, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4334 Latham St, Riverside, CA 92501 Phone: 909-519-8912 | |
Julia P Kosobucki, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3674 Pacific Ave, Riverside, CA 92509 Phone: 760-729-5433 | |
Karen E Diaz, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051 | |
Davorka Martin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9020 Garfield St, Riverside, CA 92503 Phone: 951-688-8200 Fax: 951-688-0386 | |
Blake Christensen, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4234 Riverwalk Pkwy Ste 200, Riverside, CA 92505 Phone: 951-977-2500 Fax: 909-557-1732 | |
Britt E Wallstrom, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051 |