Individual
KOREN JEAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29 CYPRESS MARSH DR, HILTON HEAD ISLAND, SC 29926-2563
(803) 603-3239
Mailing address
29 CYPRESS MARSH DR, HILTON HEAD ISLAND, SC 29926-2563
(803) 603-3239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2523
SC
Other
Enumeration date
01/09/2016
Last updated
01/09/2016
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