| NPI | 1407487325 |
|---|---|
| Former Name | MICHELINA ELIZABETH RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 34656) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213687) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2025-07-30 |