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Individual

APRIL MICHELLE RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1428 N 4075 W, VERNAL, UT 84078-4581
(801) 664-9426
Mailing address
1428 N 4075 W, VERNAL, UT 84078-4581
(801) 664-9426

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8352818-4202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8352818-4202
DOPL
UT
Enumeration date
04/01/2022
Last updated
04/01/2022
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