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Individual

MRS. CRISTINA RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
35 NOD RD, SUITE 102, AVON, CT 06001-3826
(860) 677-0739
(860) 677-1029
Mailing address
499 FARMINGTON AVE STE 300, FARMINGTON, CT 06032-1933

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008590
CT
225100000X
Physical Therapist
8590
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
076572
MEDICARE GROUP ID
CT
Enumeration date
08/17/2009
Last updated
01/23/2018
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