Jason N Richards OT

NPI 1003163379 - Occupational Therapist - 225X00000X

NPI Details
NPI 1003163379
Gender Male
Enumeration Date 08/06/2012
Last Updated 08/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2200 FORT JESSE RD
NORMAL IL, 61761-6286, US
Phone (309) 888-9800
Fax (866) 888-9198
Business Location
2200 FORT JESSE RD
NORMAL IL, 61761-6286, US
Phone (309) 888-9800
Fax (866) 888-9198
Toxanomy
Taxonomy Code 225X00000X
License State Illinois
License Number 056.007160
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According to our database, Mr. Jason N Richards OT NPI is 1003163379, taxonomy code is 225X00000X and license number is 056.007160, license state is located at Illinois. Jason N Richards OT physically located at 2200 Fort Jesse Rd, Normal IL, 61761-6286. NPI Number Jason N Richards OT has the Individual type.

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1003163379 NPI number is provided on an as is basis without warranty of any kind. 1003163379 is maintained by the National Plan & Provider Enumeration System. The contents of Jason N Richards OT are for informational purposes only.