Individual
MR. ERIC THOMPSON RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1543 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 363-4599
Mailing address
100 SUMMIT ST, BRIDGEPORT, WV 26330-1123
(304) 842-5027
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1068
WV
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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