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Individual

LEANNE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1885 S 14TH ST, FERNANDINA BEACH, FL 32034-3033
(904) 277-4449
(904) 277-4177
Mailing address
862232 N HAMPTON CLUB WAY, FERNANDINA BEACH, FL 32034-8801

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28054
FL

Other

Enumeration date
10/31/2017
Last updated
03/17/2018
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