Individual
JO ELLEN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9395 CROWN CREST BLVD, PARKER, CO 80138-8573
(303) 269-4590
Mailing address
DEPT 1762, DENVER, CO 80291-1762
(303) 486-5504
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0001443
CO
225XH1200X
Hand Occupational Therapist
0001443
CO
Other
Enumeration date
08/24/2006
Last updated
11/05/2015
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