Individual
MR. NEIL RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1621 W OAK AVE, FULLERTON, CA 92833-3834
(714) 869-8375
Mailing address
1621 W OAK AVE, FULLERTON, CA 92833-3834
(714) 869-8375
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9459
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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