Individual
KELLY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1058 CLARK ST, D-1, HOLLAND, OH 43528-7949
(419) 868-7378
(419) 868-7390
Mailing address
1058 CLARK ST STE D1, HOLLAND, OH 43528-7950
(419) 868-7378
(419) 868-7390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
03520
OH
Other
Enumeration date
04/08/2010
Last updated
06/12/2014
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