Individual
MS. PAULETTE ANN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L BCIAC BA
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
247221
OR
225400000X
Rehabilitation Practitioner
B4538
CO
Other
Enumeration date
04/22/2006
Last updated
07/08/2007
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