Individual
DEBRA L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1320 WHEAT RD, WINFIELD, KS 67156-4704
(620) 229-2283
Mailing address
1219 E 11TH AVE, WINFIELD, KS 67156-3908
(620) 282-3174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800085
KS
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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