CHRIS DWIGHT RICHARDSON

BLOOMFIELD, NM
NPI1972838266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-0554)
Enumeration Date2009-10-05
Last Update Date2009-10-05
Business Address
-- CHRIS DWIGHT RICHARDSON pta
#6 CTY RD 5149
BLOOMFIELD, NM 87413
Phone number: 505-215-6614
Mailing Address
-- CHRIS DWIGHT RICHARDSON pta
#6 CTY RD. 5149
BLOOMFIELD, NM 87413
Phone number: 505-215-6613
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