Individual
MRS. CRISTINA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
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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