Individual
MRS. LISA HERLOCKER RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
33426 OLD SALISBURY ROAD, ALBEMARLE, NC 28002
(704) 986-4481
Mailing address
35296 PICKLER RD, ALBEMARLE, NC 28001-9659
(198) 058-1076
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4431
NC
Other
Enumeration date
06/14/2007
Last updated
05/12/2008
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