Individual
LAURA MICHELLE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
401 ROSEMONT AVE, FREDERICK, MD 21701-8524
(301) 696-3836
Mailing address
10 MEADOWCROFT CT, MONTGOMERY VILLAGE, MD 20886-1340
(301) 787-7529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000405
MD
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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