ALEXIS RICHARDSON

FORT WAYNE, IN
NPI1942698220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: IN  31005793A)
Enumeration Date2015-01-08
Last Update Date2015-01-28
Business Address
-- ALEXIS RICHARDSON
4935 HILLEGAS RD
FORT WAYNE, IN 46818-1934
Phone number: 260-338-1241
Mailing Address
-- ALEXIS RICHARDSON
PO BOX 80867
FORT WAYNE, IN 46898-0867
Phone number: 260-338-1241
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