Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy-Ann Ricketts

Individual provider Occupational Therapy Assistant · NPI 1730952839

Stacy-Ann Ricketts is an Occupational Therapy Assistant in Davie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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Practice location Address checks out

3901 W State Road 84 Unit 308
Davie, FL 33312-8865
Phone: (407) 580-3906
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA10920 (FL)

Record details

NPI number1730952839
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2023
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address3901 W State Road 84 Unit 308, Davie, FL 33312-8865

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