LISA RICHARDSON

FORT WORTH, TX
NPI1740039007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: TX  2255)
Additional Taxonomies224P00000X Prosthetist
(Licence: TX  2255)
Enumeration Date2024-05-17
Last Update Date2024-05-17
Business Address
LISA RICHARDSON LCPO
1101 W VICKERY BLVD
FORT WORTH, TX 76104-1025
Phone number: 682-885-6295
Mailing Address
LISA RICHARDSON LCPO
1101 W VICKERY BLVD
FORT WORTH, TX 76104-1025
Phone number: 682-885-6295
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