Individual
RONALD THOMAS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
3421 S SHADES CREST RD, STE 107, HOOVER, AL 35244-3551
(205) 987-6501
(205) 987-6503
Mailing address
725 OAKLINE CIR, HOOVER, AL 35226-4110
(205) 515-0354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH261
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51537259
BLUE CROSS BLUE SHIELD AL
AL
01
—
5224640
AETNA
AL
Enumeration date
08/19/2006
Last updated
07/08/2007
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