Individual
KIARA PAIGE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1721 N KING ST, HAMPTON, VA 23669-1909
(757) 722-0309
Mailing address
8217 OCONNOR CRES, NORFOLK, VA 23503-2714
(618) 231-7563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160008647
IL
225200000X
Physical Therapy Assistant
Primary
2306606119
VA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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