Individual
ALEXANDRA MARIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3835 CYPRESS DR, PETALUMA, CA 94954-6965
(707) 508-9485
Mailing address
6461 SEQUOIA ST, ROHNERT PARK, CA 94928-2833
(707) 508-9485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
144151
CA
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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