Individual
MR. GREGORY MANCE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T;C. LLC
Contact information
Practice address
5232 NE 18TH AVE, POMPANO BEACH, FL 33064-5626
(954) 732-7350
Mailing address
5232 NE 18TH AVE, POMPANO BEACH, FL 33064-5626
(954) 732-7350
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL570
FL
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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