JAMIE L RICHARDSON

MILWAUKIE, OR
NPI1780423111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  077601)
Enumeration Date2024-05-24
Last Update Date2024-05-24
Business Address
JAMIE L RICHARDSON PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 563-340-5531
Mailing Address
JAMIE L RICHARDSON PTA
5125 TAYLOR ST
DAVENPORT, IA 52806-3756
Phone number: 563-340-5531