Mark Richardson

NPI #1104216076 in Venice, Florida

Provider Information

NPI Number: 1104216076
Entity Type: Individual
Name: Mark Richardson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 30, 2015
Last Updated: Jan 30, 2015

Practice Location

Address: 333 TAMIAMI TRL S
City: Venice
State: Florida
ZIP Code: 34285-2402
Phone: (941) 484-2471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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