Individual
ALAINA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 STILLWATER CIR, BONAIRE, GA 31005-3857
(478) 293-1680
(478) 293-1685
Mailing address
101 STILLWATER CIR, BONAIRE, GA 31005-3857
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004622
GA
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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