Individual
CHARLES RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5489 RUTLAND CT, RANCHO CUCAMONGA, CA 91739-8918
(909) 262-0559
Mailing address
24561 BARTON RD, LOMA LINDA, CA 92354-3214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6445
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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