Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0119003545 | VA |
NPI | 1023132933 |
---|---|
Provider Name | Elizabeth E. Richardson |
First Address | Harrisonburg, VA 22807 |
Second Address | Harrisonburg, VA 22807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2007 |
Last Update Date | 07/04/2015 |