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Individual

JAMES DAVID RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
438 23RD ST, OAK HILL, WV 25901-2830
(304) 465-1574
(304) 465-8094
Mailing address
438 23RD ST, OAK HILL, WV 25901-2830
(304) 465-1574
(304) 465-8094

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1687
WV

Other

Enumeration date
04/08/2013
Last updated
04/08/2013
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