Individual
MR. RICHARD STEPHEN TADDEI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4744 JAMES MADISON HWY, FORK UNION MILITARY ACADEMY, FORK UNION, VA 23055
(434) 842-4287
(434) 842-4299
Mailing address
11947 JAMES MADISON HWY, PALMYRA, VA 22963-4401
(434) 589-4058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000043
VA
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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