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1811478001
BRANDI NICOLE RICHARDSON
MESQUITE, TX
NPI
1811478001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2128269)
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
Mrs. BRANDI NICOLE RICHARDSON PTA
3617 O HARE DR
MESQUITE, TX 75150-4539
Phone number: 972-284-8600
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Mailing Address
Mrs. BRANDI NICOLE RICHARDSON PTA
535 GLEN COVE ST
SEAGOVILLE, TX 75159-2243
Phone number: 214-459-7487
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