Jerry Glenn Richardson, P.T,

NPI #1679755763 in Palestine, Texas

Provider Information

NPI Number
1679755763
Entity Type
Individual
Name
Jerry Glenn Richardson, P.T,
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
P.T,
Enumeration Date
Nov 29, 2007
Last Updated
Nov 29, 2007

Practice Location

Address
555 AN COUNTY ROAD 376
State
Texas
ZIP Code
75801-7148
Phone
(903) 723-8364

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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