Individual
ISAIAH ALEXANDER RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
167 MOORE RD, KING, NC 27021-8770
(336) 985-2120
(336) 985-2122
Mailing address
3027 NORTHWOOD DR APT 111, WINSTON SALEM, NC 27106-3928
(910) 551-4729
(336) 985-2122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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