Individual
DADRION RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1381 CAMPBELL LN, BOWLING GREEN, KY 42104-1049
(270) 843-0587
Mailing address
424 SPRING STREET, PEMBROKE, KY 42266
(270) 985-5616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03804
KY
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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