Individual
LISA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 W 92ND ST, #BB, NEW YORK, NY 10025-7516
(212) 595-1705
Mailing address
150 W 92ND ST, #BB, NEW YORK, NY 10025-7516
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
020772
NY
Other
Enumeration date
08/23/2016
Last updated
12/20/2016
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