Individual
TREVOR RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 367-1548
(870) 367-1383
Mailing address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 367-1548
(870) 367-1383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4413
AR
Other
Enumeration date
11/11/2017
Last updated
11/11/2017
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