Individual
MISS AMANDA HOPE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2328 CAMELIA ST, CAYCE, SC 29033-2510
(803) 422-7105
Mailing address
2328 CAMELIA ST, CAYCE, SC 29033-2510
(803) 422-7105
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
5627
SC
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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