Individual
ROBERT RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
140 PRESCOTT ST, NORTH ANDOVER, MA 01845-1826
(978) 685-8086
Mailing address
5B HILLSIDE AVE, NEWBURYPORT, MA 01950-3914
(978) 462-5816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1098
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315303
—
MA
Enumeration date
04/07/2007
Last updated
07/08/2007
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