Individual
MR. KEVIN E. RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R., CHT. PH.D.
Contact information
Practice address
71703 HIGHWAY 111 STE 1D, RANCHO MIRAGE, CA 92270-4478
(760) 501-1572
(760) 406-5887
Mailing address
67972 NICOLE CT, DESERT HOT SPRINGS, CA 92240-6896
(760) 902-2274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9619
CA
Other
Enumeration date
10/03/2008
Last updated
03/01/2022
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