Individual
MRS. JULIA RAE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8419 E EDGEWOOD AVE, MESA, AZ 85208-2804
(480) 330-4615
Mailing address
8419 E EDGEWOOD AVE, MESA, AZ 85208-2804
(480) 330-4615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8960A
AZ
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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