Individual
DEVAN NICOLE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
65 HIGHLAND RD, STATEN ISLAND, NY 10308-2940
(347) 721-1141
Mailing address
65 HIGHLAND RD, STATEN ISLAND, NY 10308-2940
(347) 721-1141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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