Richard Crisp

NPI #1073739595 in Stockton, California

Provider Information

NPI Number: 1073739595
Entity Type: Individual
Name: Richard Crisp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1429 W FREMONT ST
City: Stockton
State: California
ZIP Code: 95203-2627
Phone: (209) 546-0944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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