IndividualActive
Phyllis Ricketts, PT
NPI 1770705014 · Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician · Moorestown, NJ
Provider details
- NPI number
- 1770705014
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT005093L (PA)
Specialties & taxonomies
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081H0002XLicense PT005093L (PA)
Allopathic & Osteopathic Physicians
Practice location
14 Cortland Shire Dr
Moorestown, NJ 08057-3944
Phone: (609) 760-4094
Approximate (ZIP-level) locationGet directions
Mailing address
14 Cortland Shire Dr
Moorestown, NJ 08057-3944
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.