Individual
JON L RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
710 PRAIRIE ST, WINNSBORO, LA 71295-2630
(318) 435-3882
(318) 435-4306
Mailing address
PO BOX 432, WINNSBORO, LA 71295-0432
(318) 435-3882
(318) 435-4306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06932
LA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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