Individual
ASHANTI RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
4400 BEACON PLACE PKWY APT 1306, TUSCALOOSA, AL 35405-4752
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83873
NCTRC
GA
Enumeration date
05/13/2022
Last updated
05/13/2022
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