Individual
ALLYSSA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2817 REILLY ROAD, FORT BRAGG, NC 28310
(910) 907-6000
Mailing address
4026 SOUTHERN OAKS DR UNIT 2, FAYETTEVILLE, NC 28314-0972
(757) 880-7195
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001789
VA
Other
Enumeration date
12/27/2013
Last updated
07/28/2022
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