Individual
MS. ALISON ALLEN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
587 N DEER ISLE RD, DEER ISLE, ME 04627-3438
(207) 348-2351
(207) 348-6154
Mailing address
1327 MARKS CORNER ROAD, PENOBSCOT, ME 04476
(207) 479-4415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA1659
ME
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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