Individual
DONA ANN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
W3718 SOUTH DR, PLYMOUTH, WI 53073-4878
(920) 565-1510
(920) 565-1399
Mailing address
2726 SAVANNAH CIR APT B, SHEBOYGAN, WI 53081-1101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1203-39
WI
Other
Enumeration date
10/23/2013
Last updated
11/19/2013
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