Individual
ASHLEY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 S 72ND ST, PAPILLION, NE 68046-3407
(402) 932-2782
Mailing address
6186 WEATHERED STONE CT, DOUGLASVILLE, GA 30135-5903
(773) 449-8032
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT008178
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT008178
—
GA
Enumeration date
08/20/2021
Last updated
08/22/2024
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