Individual
MRS. COLLEEN RENEE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1200 W COLLEGE ST, LIBERTY, MO 64068-1036
(816) 781-3020
Mailing address
413 NE 112TH TER, KANSAS CITY, MO 64155-1247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2003018953
MO
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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