Individual
MRS. KATHY R RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1859 E CAMPBELL AVE, GILBERT, AZ 85234-8230
(480) 296-8618
Mailing address
1859 E CAMPBELL AVE, GILBERT, AZ 85234-8230
(480) 296-8618
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2806
AZ
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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