Individual
MRS. PAMELA JOANNE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1002 FOREST DR, RIVERTON, WY 82501-2918
(307) 856-9471
Mailing address
PO BOX 1021, LANDER, WY 82520-1021
(307) 349-2425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT # 1185
WY
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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