Individual
MS. OCTAVIA DESHAUN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
20265 EMERY RD, NORTH RANDALL, OH 44128-4122
(216) 584-2720
Mailing address
13204 GRIFFING AVE APT 7, CLEVELAND, OH 44120-3080
(216) 921-0981
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06426
OH
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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