CRYSTAL RICHARDSON

MARION, IL
NPI1225290505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160003275)
Enumeration Date2008-06-27
Last Update Date2008-06-27
Business Address
-- CRYSTAL RICHARDSON
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
-- CRYSTAL RICHARDSON
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: