Individual
STEVEN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4206 HIGHWAY 64 STE A1, KIRTLAND, NM 87417-9416
(505) 258-4175
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 441-0482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5013
NM
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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