Individual
MRS. SANDRA K RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
825 JUNE ST, FREMONT, OH 43420-3417
(419) 332-0358
Mailing address
825 JUNE ST, FREMONT, OH 43420-3417
(419) 332-0358
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02288
OH
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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