Individual
MR. CHARLES WILLIAM RICHARDSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
75 BRIMBAL AVE, BEVERLY, MA 01915-6009
(978) 927-2020
(972) 922-4643
Mailing address
75 BRIMBAL AVE, BEVERLY, MA 01915-6009
(978) 927-2020
(972) 922-4643
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2709
MA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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