Individual
ANNA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12850 HILLCREST RD # F104, DALLAS, TX 75230-1529
(972) 404-3077
Mailing address
504 DOVER DR, RICHARDSON, TX 75080-6705
(214) 563-5823
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
119759
TX
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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