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JAMES KERRY RICHARDSON RPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1679615728

Individual Registrant:
 JAMES KERRY RICHARDSON RPT
Gender: M
Sole Proprietor

Location and contact information for practice:
230 HOSPITAL DR  VERNON, AL 35592-5251 US
Tel: 205-695-5111  Fax: 205-695-5110

Contact information for business:
7088 UNIVERSITY CT  MONTGOMERY, AL 36117-6992 US
Tel: 334-396-1400  Fax: 334-396-2727

Registration Information:
NPI: 1679615728
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH 2757

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS PROVIDER #051524507AL01
BC/BS PROVIDER NUMBER51048213AL01




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