Individual
LORI RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1139 MAIN AVE, WARWICK, RI 02886-1940
(401) 739-6600
Mailing address
1139 MAIN AVE, WARWICK, RI 02886-1940
(401) 739-6600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00750
RI
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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