Individual
MRS. AMY L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
22035 BURBANK BLVD, APT 136, WOODLAND HILLS, CA 91367-4737
(505) 446-7018
Mailing address
22035 BURBANK BLVD APT 136, WOODLAND HILLS, CA 91367-4741
(508) 446-7018
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2541
MA
224Z00000X
Occupational Therapy Assistant
Primary
2677
CA
Other
Enumeration date
11/30/2012
Last updated
09/19/2014
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