Thomas Anthony Richardson COTA

NPI 1013215094 - Occupational Therapy Assistant - 224ZE0001X

NPI Details
NPI 1013215094
Gender Male
Enumeration Date 03/01/2011
Last Updated 03/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
8900 KEYSTONE XING STE 600
INDIANAPOLIS IN, 46240-2131, US
Phone (317) 218-0654
Fax
Business Location
9699 N WANDA CT
MOORESVILLE IN, 46158-6131, US
Phone (317) 834-4929
Fax
Toxanomy
Taxonomy Code 224ZE0001X
License State Indiana
License Number 32001033A
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According to our database, Mr. Thomas Anthony Richardson COTA NPI is 1013215094, taxonomy code is 224ZE0001X and license number is 32001033A, license state is located at Indiana. Thomas Anthony Richardson COTA physically located at 8900 Keystone Xing Ste 600, Indianapolis IN, 46240-2131. NPI Number Thomas Anthony Richardson COTA has the Individual type.

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1013215094 NPI number is provided on an as is basis without warranty of any kind. 1013215094 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Anthony Richardson COTA are for informational purposes only.