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Individual

MICHAEL SCOTT RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1124 OLD LYNN GROVE RD, MURRAY, KY 42071-8112
(270) 293-5687
(270) 759-5127
Mailing address
1124 OLD LYNN GROVE RD, MURRAY, KY 42071-8112
(270) 293-5687
(270) 759-5127

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT103
TN
225X00000X
Occupational Therapist
Primary
R0056
KY

Other

Enumeration date
05/11/2012
Last updated
05/11/2012
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