Individual
RONDELL L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, BOCP
Contact information
Practice address
3210 PROSPERITY CHURCH RD STE 101, CHARLOTTE, NC 28269-8194
(704) 510-2204
(704) 510-2218
Mailing address
PO BOX 373, HARRISBURG, NC 28075-0373
(704) 641-7221
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CO004511
—
224P00000X
Prosthetist
Primary
C22362
—
Other
Enumeration date
07/19/2007
Last updated
08/02/2020
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