Individual
LAKIEZA CHARIQ RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
144 S MORTON AVE APT A46, MORTON, PA 19070-2069
(267) 296-0690
Mailing address
144 S MORTON AVE APT A46, MORTON, PA 19070-2069
(267) 296-0690
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009757
PA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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