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MARY RICHARDSON

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1588007132

Individual Registrant:
 MARY  RICHARDSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
211 WOOD RIDGE LN  LOWGAP, NC 27024-8909 US
Tel: 336-352-3419  Fax: --

Contact information for business:
211 WOOD RIDGE LN  LOWGAP, NC 27024-8909 US
Tel: --  Fax: --

Registration Information:
NPI: 1588007132
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
NC4800

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
225200000X4800NC01




HEALTH CARE JOBS NC - Page 1



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