MR. Charles Timothy Richardson, PT

NPI #1841275161 in Palmetto, Florida

Provider Information

NPI Number: 1841275161
Entity Type: Individual
Name: MR. Charles Timothy Richardson, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 9, 2005
Last Updated: Oct 3, 2011

Practice Location

Address: 506 4TH AVE W
Address 2: BLDG 4
City: Palmetto
State: Florida
ZIP Code: 34221
Phone: (941) 729-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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