GLENN L. RICHARDSON

RAYVILLE, LA
NPI1326032392
Other NameLARRY RICHARDSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  LA 03589)
Enumeration Date2005-09-07
Last Update Date2011-02-17
Business Address
-- GLENN L. RICHARDSON PT
160 CHRISTIAN DR BOX 834
RAYVILLE, LA 71269-3645
Phone number: 318-728-4088
Mailing Address
-- GLENN L. RICHARDSON PT
950 HIGHWAY 584
RAYVILLE, LA 71269-4328
Phone number: 318-728-8879
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