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Individual

MS. CHRISTINA M T RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
73 MIDDLE RD, BRENTWOOD, NH 03833-6507
(207) 459-4039
Mailing address
PO BOX 317, BERWICK, ME 03901-0317
(207) 459-4039

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1310
NH
225X00000X
Occupational Therapist
OT1266
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30418667
NH
Enumeration date
02/19/2010
Last updated
08/25/2011
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