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
- City
- Bloomfield
- State
- New Mexico
- ZIP Code
- 87413
- Phone
- (505) 215-6614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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