Individual
LATONIA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 FULLWOOD RD, MATTHEWS, NC 28105-2659
(704) 841-4920
Mailing address
11 DIAMOND CT, DURHAM, NC 27703-6662
(910) 431-3380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16661
NC
Other
Enumeration date
12/08/2016
Last updated
10/29/2025
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