Jeffrey D Richardson, P.T.

NPI #1356453278 in San Carlos, Arizona

Provider Information

NPI Number: 1356453278
Entity Type: Individual
Name: Jeffrey D Richardson, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Aug 31, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 223 CIBEQUE CIRCLE ROAD
City: San Carlos
State: Arizona
ZIP Code: 85550-0208
Phone: (928) 475-7219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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