Individual
MRS. SUSAN NICOLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
336 EDGEWOOD DR, PINEVILLE, LA 71360-5445
(318) 442-9552
Mailing address
PO BOX 11, JONESVILLE, LA 71343-0011
(318) 339-4711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
LA
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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