Individual
KEVIN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
166 MOUNT PLEASANT RD, NEWTOWN, CT 06470-1456
(203) 364-5466
Mailing address
10 BOXWOOD DR, BROOKFIELD, CT 06804-3402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004112
CT
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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