Individual
HEATHER MARIE RICHARDVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10006 AUBURN PARK DR, FORT WAYNE, IN 46825-2389
(260) 497-7191
(260) 497-7791
Mailing address
10006 AUBURN PARK DR, FORT WAYNE, IN 46825-2389
(260) 497-7191
(260) 497-7791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011633A
IN
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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