Individual
JANICE R RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
697 HANNAH ST SUITE A, CENTER FOR INTEGRATIVE MEDICINE, TRAVERSE CITY, MI 49684
(231) 947-0900
Mailing address
5627 W MACFARLANE RD, GLEN ARBOR, MI 49636-9716
(231) 334-4456
(231) 334-4456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650D557010
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
01/17/2007
Last updated
12/29/2016
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