Mrs. Susan Jane Richard
Physical Therapist - Pediatrics
31 Lake St
Gardner
, Massachusetts 01440-3879
Mrs. Susan Jane Richard
Physical Therapist - Pediatrics
31 Lake St
Gardner
, Massachusetts 01440-3879
(978) 632-4432
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Susan Jane Richard
- 31 Lake St
- Gardner, MA
- Zip : 01440-3879
- Phone : (978) 632-4432
Second Address
- Mrs. Susan Jane Richard
- 31 Lake St
- Gardner, MA
- Zip : 01440-3879
- Phone : (978) 632-4432
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 2156 | MA |
National Provider Identifier
| NPI | 1093996217 |
|---|---|
| Provider Name | Mrs. Susan Jane Richard |
| First Address | Gardner, MA 01440-3879 |
| Second Address | Gardner, MA 01440-3879 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2007 |
| Last Update Date | 15/11/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.