Individual
JANNIC RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
4966 CHARDONNAY DR, CORAL SPRINGS, FL 33067-4121
(954) 234-6002
Mailing address
4966 CHARDONNAY DR, CORAL SPRINGS, FL 33067-4121
(954) 234-6002
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
8555
FL
225X00000X
Occupational Therapist
Primary
8555
FL
Other
Enumeration date
02/22/2007
Last updated
07/31/2013
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