Individual
MRS. THERESA MARIE RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
421 BLOOMSBURY AVE, BALTIMORE, MD 21228-5205
(410) 887-0808
(410) 747-9473
Mailing address
1000 B AND L CLUB RD, PASADENA, MD 21122-1382
(410) 439-8588
(410) 439-8588
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
MD
05
—
22
—
MD
Enumeration date
05/28/2007
Last updated
07/09/2007
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