Individual
MR. DEREK W RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
302 HANCOCK ST, HOLDREGE, NE 68949-2741
(308) 991-1673
Mailing address
302 HANCOCK ST, HOLDREGE, NE 68949-2741
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
833
NE
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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