Individual
MS. KIMBERLY M RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28403 KEATON DR, MORENO VALLEY, CA 92555-6025
(951) 807-0531
Mailing address
28403 KEATON DR, MORENO VALLEY, CA 92555-6025
(951) 807-0531
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3515
CA
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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