Individual
KELSEA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
717 W 7TH ST, LITTLE ROCK, AR 72201-4001
(573) 517-8072
Mailing address
16339 LAKEFIELD PL APT F, WILDWOOD, MO 63040-1695
(573) 517-8072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012026284
MO
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
08/16/2012
Last updated
07/24/2024
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