Individual
KAREN DENISE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 MUSTANG DRIVE, SWORDS CREEK, VA 24649-0276
(276) 873-4445
Mailing address
PO BOX 276, SWORDS CREEK, VA 24649-0276
(276) 873-4445
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1072435
VA
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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