| Doctor Name: | MATTHEW RICKETSON |
| NPI Number: | 1790708469 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OT |
| License Number: | 00910 |
| Business Practice Address: | 588 Pawtucket Ave Pawtucket, RI - 028606057 |
| Business Phone Number: | 4017222400 |
| Business Fax Number: | 4017283920 |
| Mailing Address: | 142 Touisset Ave., SWANSEA |
| State: | MA |
| Postal Code: | 027775347 |
| Phone Number: | 4013390086 |
| Fax Number: | 4017283920 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 08/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 00910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |