Individual
MS. KAREN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1885 S 14TH ST, FERNANDINA BEACH, FL 32034-3033
(904) 277-4449
(904) 277-4177
Mailing address
1885 S 14TH ST, FERNANDINA BEACH, FL 32034-3033
(904) 277-4449
(904) 277-4177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA 19087
FL
Other
Enumeration date
05/08/2007
Last updated
06/29/2009
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