Individual
JUSTINE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT, ATC
Contact information
Practice address
4555 N SHALLOWFORD RD, DUNWOODY, GA 30338-6407
(404) 778-6031
Mailing address
1740 CENTURY CIR NE APT 1571, ATLANTA, GA 30345-3057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011600
GA
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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