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Individual

MS. RICHELLE L RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
100 W GORE ST, SUITE 300, ORLANDO, FL 32806-1044
(407) 254-2558
Mailing address
1000 NODDING PINES WAY, CASSELBERRY, FL 32707-5913
(407) 677-7584

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 18465
FL

Other

Enumeration date
03/08/2007
Last updated
07/08/2007
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