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Individual

TIMOTHY RICHARDS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1330 E ARLINGTON BLVD, SUITE A, GREENVILLE, NC 27858-7850
(252) 758-7048
(252) 215-5614
Mailing address
1330 E ARLINGTON BLVD, SUITE A, GREENVILLE, NC 27858-7850
(252) 758-7048
(252) 215-5614

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4542
NC
225X00000X
Occupational Therapist
OT11964
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4542
NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
01/20/2009
Last updated
09/15/2011
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