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Individual

SCOTT RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
113 LINNIES CT, AXTON, VA 24054-1729
(276) 806-6278
Mailing address
113 LINNIES CT, AXTON, VA 24054-1729
(276) 806-6278

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603912
VA

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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