Individual
MR. ENDOR E RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3898 VIA POINCIANA, SUITE 12, LAKE WORTH, FL 33467-2951
(561) 966-9273
(561) 966-8810
Mailing address
5607 KINGSMILL CT, LAKE WORTH, FL 33463-7399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14569
STATE LICENSE
FL
Enumeration date
08/20/2006
Last updated
07/08/2007
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