Individual
AMY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1075 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909-7628
(252) 331-2586
Mailing address
1075 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909-7628
(252) 331-2586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5200
NC
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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