Individual
MRS. LAURA ANN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 DEVON BROOKE DR, WOODSTOCK, GA 30188-6701
(678) 524-3073
Mailing address
606 DEVON BROOKE DR, WOODSTOCK, GA 30188-6701
(678) 524-3073
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002396
GA
Other
Enumeration date
12/13/2006
Last updated
07/09/2007
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