Individual
MS. FAITH RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
412 E WEST ST, EL CAMPO, TX 77437-3542
(979) 541-7128
Mailing address
412 E WEST ST, EL CAMPO, TX 77437-3542
(979) 541-7128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208437
TX
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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