Individual
DR. ADAM K RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3491
Mailing address
1461 MANOR PL, FORT GIBSON, OK 74434-8146
(918) 207-2377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4377
OK
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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