Individual
KRISTEN KAYE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17803 IMPERIAL HWY, YORBA LINDA, CA 92886-2362
(714) 452-1735
Mailing address
25595 RIVER BANK DR APT B, YORBA LINDA, CA 92887-6252
(714) 271-8872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2911
CA
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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