Individual
MR. THOMAS ANTHONY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
8900 KEYSTONE XING STE 600, INDIANAPOLIS, IN 46240-2131
(317) 218-0654
Mailing address
9699 N WANDA CT, MOORESVILLE, IN 46158-6131
(317) 834-4929
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
32001033A
IN
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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