Leanne Richardson, PTA

NPI #1568974517 in Fernandina Beach, Florida

Provider Information

NPI Number: 1568974517
Entity Type: Individual
Name: Leanne Richardson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 31, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 1885 S 14TH ST
City: Fernandina Beach
State: Florida
ZIP Code: 32034-3033
Phone: (904) 277-4449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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