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Individual

DR. JOHN ALLEN RICHTER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005289
IA
225100000X
Physical Therapist
10478
AZ
2255A2300X
Athletic Trainer
001132
IA

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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