Individual
BRENDA ELAINE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3160 W BRITTON RD, SUITE C, OKLAHOMA CITY, OK 73120-2068
(405) 751-9595
(405) 755-4045
Mailing address
3160 W BRITTON RD, SUITE C, OKLAHOMA CITY, OK 73120-2039
(405) 751-9595
(405) 755-4045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1362
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194847988
GROUP NPI
OK
Enumeration date
07/20/2006
Last updated
04/15/2010
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