MR. Jason N Richards, OT

NPI #1003163379 in Normal, Illinois

Provider Information

NPI Number
1003163379
Entity Type
Individual
Name
MR. Jason N Richards, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Aug 6, 2012
Last Updated
Aug 6, 2012

Practice Location

Address
2200 FORT JESSE RD
City
Normal
ZIP Code
61761-6286
Phone
(309) 888-9800

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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