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Individual

MS. JOANNE JERUSHA RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
18308 MARQUIS RD, ORANGE, VA 22960-3334
(540) 854-4361
Mailing address
18308 MARQUIS ROAD, ORANGE, VA 22960
(540) 854-4361

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000888
VA

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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