Individual
RANDY R RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
(314) 977-8545
Mailing address
411 LINDENWOOD DR, TROY, IL 62294-1065
(618) 667-2994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01095
MO
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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