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Search › Massachusetts › 225X00000X

Jacob Riccardi, OTRL

NPI 1093110868 · on the registry since 2014 · sole proprietor

Practice

Address
184 Main Street
Fairhaven, MA 02719
Phone
(508) 997-3193
Organisation at this address
184 Main Llc
Fairhaven Opco Llc
Fairhaven Nursing And Rehab Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts