Octavia Deshaun Richardson LPTA

NPI 1093831729 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1093831729
Gender Female
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
20265 EMERY RD
NORTH RANDALL OH, 44128-4122, US
Phone (216) 584-2720
Business Location
CLEVELAND OH, 44120-3080, US
Phone (216) 921-0981
Taxonomy Code 225200000X
License State Ohio
License Number 06426
Remove 1093831729 NPI Number

According to our database, Ms. Octavia Deshaun Richardson LPTA NPI is 1093831729, taxonomy code is 225200000X and license number is 06426, license state is located at Ohio. Octavia Deshaun Richardson LPTA physically located at 20265 Emery Rd, North Randall OH, 44128-4122. NPI Number Octavia Deshaun Richardson LPTA has the Individual type.

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1093831729 NPI number is provided on an as is basis without warranty of any kind. 1093831729 is maintained by the National Plan & Provider Enumeration System. The contents of Octavia Deshaun Richardson LPTA are for informational purposes only.