JONATHAN NICHOLAS RICHARDSON

HUMBOLDT, TN
NPI1720810104
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XG0600X Occupational Therapist, Gerontology
(Licence: TN  8092)
Enumeration Date2024-08-15
Last Update Date2024-08-15
Business Address
JONATHAN NICHOLAS RICHARDSON OTR/L
2865 E MAIN ST
HUMBOLDT, TN 38343-3070
Phone number: 731-784-8405
Mailing Address
JONATHAN NICHOLAS RICHARDSON OTR/L
58 SADDLE TREE DR
HUMBOLDT, TN 38343-6706
Phone number: 731-439-6534
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