Individual
JENNIFER DAWN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
180 W BROOKS ST, NORMAN, OK 73019-1018
(405) 325-0368
(405) 325-8388
Mailing address
616 SUMMIT BND, NORMAN, OK 73071-0608
(405) 325-0368
(405) 325-8388
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000929
GA
Other
Enumeration date
07/04/2006
Last updated
05/07/2015
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