Individual
MRS. LAURA JOANN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 S WHEELER ST, JASPER, TX 75951-4540
(409) 489-2274
Mailing address
PO BOX 1299, JASPER, TX 75951-0013
(409) 489-2274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2072002
TX
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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