Individual
LEANNE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 DR ML KING JR ST N, SAFETY HARBOR, FL 34695-3303
(727) 726-1181
Mailing address
1410 DR ML KING JR ST N, SAFETY HARBOR, FL 34695-3303
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
SA6821
FL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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