Individual
PAIGE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 MARINE RD, EDWARDSVILLE, IL 62025-4282
(618) 659-9112
Mailing address
300 HUNTER AVE STE 200, SAINT LOUIS, MO 63124-2328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013223
IL
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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