Individual
MS. COLLEEN MARIE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
55 CINEMA BLVD, LEOMINSTER, MA 01453-3290
(978) 401-3100
Mailing address
168 HASTINGS RD, ASHBURNHAM, MA 01430-1125
(978) 821-4809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8233
MA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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