Individual
JEREMY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
4148 RIDGEMOOR DR N, PALM HARBOR, FL 34685-1152
(727) 385-6579
Mailing address
4148 RIDGEMOOR DR N, PALM HARBOR, FL 34685-1152
(727) 385-6579
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25002
FL
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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