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Individual

MR. JEFFREY EDWARD RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
216 SANTA BARBARA BLVD, CAPE CORAL, FL 33991-2031
(239) 839-3786
Mailing address
3401 22ND ST W, LEHIGH ACRES, FL 33971-5252
(239) 839-3786

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14752
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
273161
IL

Other

Enumeration date
09/15/2010
Last updated
06/11/2024
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