Individual
MR. RICHARD CUNNINGHAM
Active
Individual
MR. RICHARD CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.008555
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070.008555
PHYSICAL THERAPY LICENSE
IL
Enumeration date
10/06/2015
Last updated
10/06/2015
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