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Individual

MR. MICHAEL RICHMOND JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1631 RITTER DR, DANIELS, WV 25832-9264
(304) 763-3051
Mailing address
1631 RITTER DR, DANIELS, WV 25832-9264
(304) 763-3051

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1029
WV

Other

Enumeration date
04/30/2014
Last updated
04/30/2014
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