Richard W Householder, PTA

NPI #1801387477 in Douglas, Michigan

Provider Information

NPI Number
1801387477
Entity Type
Individual
Name
Richard W Householder, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 19, 2018
Last Updated
May 19, 2018

Practice Location

Address
243 WILEY RD
ZIP Code
49406-5108
Phone
(269) 857-2141

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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