Individual
AMBER RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4674 40TH AVE S, FARGO, ND 58104-4500
(701) 293-7294
Mailing address
1560 66TH AVE S, FARGO, ND 58104-7895
(701) 318-7153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1235A
ND
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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