Individual
VICTOR RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 JACKSON ST, SAINT PAUL, MN 55101-2371
(651) 254-2326
Mailing address
2841 BRYANT AVE S APT 336, MINNEAPOLIS, MN 55408-4884
(573) 823-6194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104799
MN
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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