Individual
KRISTIN RENEE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
425 WEBB AVE, TEAGUE, TX 75860-2505
(903) 390-8282
Mailing address
425 WEBB AVE, TEAGUE, TX 75860-2505
(903) 390-8282
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210349
TX
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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