Individual
AMY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 LINNIES CT, AXTON, VA 24054-1729
(276) 806-6144
Mailing address
113 LINNIES CT, AXTON, VA 24054-1729
(276) 806-6144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603832
VA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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