Individual
TIMOTHY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8331 MAPLE HILL LN, TUSCALOOSA, AL 35405-8694
(205) 345-2834
Mailing address
8331 MAPLE HILL LN, TUSCALOOSA, AL 35405-8694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003501
GA
225200000X
Physical Therapy Assistant
PTA6894
AL
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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