Individual
MRS. JOHANNE B RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
419A VT ROUTE 105, NEWPORT, VT 05855-8531
(802) 334-2400
(802) 334-2550
Mailing address
PO BOX 626, DERBY, VT 05829-0626
(802) 334-2400
(802) 334-2550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003488
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008982
—
VT
Enumeration date
06/13/2005
Last updated
05/02/2008
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