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1710456223
ALEXANDRA MARIA RICHARDSON
PETALUMA, CA
NPI
1710456223
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Former Name
ALEXANDRA RODRIGUEZ VANGELATOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 144151)
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
ALEXANDRA MARIA RICHARDSON OTR/L
3835 CYPRESS DR
PETALUMA, CA 94954-6965
Phone number: 707-508-9485
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Mailing Address
ALEXANDRA MARIA RICHARDSON OTR/L
6461 SEQUOIA ST
ROHNERT PARK, CA 94928-2833
Phone number: 707-508-9485
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