Chris Dwight Richardson, PTA

NPI #1972838266 in Bloomfield, New Mexico

Provider Information

NPI Number
1972838266
Entity Type
Individual
Name
Chris Dwight Richardson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Oct 5, 2009
Last Updated
Oct 5, 2009

Practice Location

Address
#6 CTY RD 5149
ZIP Code
87413
Phone
(505) 215-6614

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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