Doctor Name: | MICHELLE LEA RICHARDSON |
NPI Number: | 1801990171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | OT665 |
Business Practice Address: | 1318 Us Route 202 Suite D Winthrop, ME - 043643821 |
Business Phone Number: | 2073775902 |
Business Fax Number: | 2073775904 |
Mailing Address: | 233 Harlow Hill Rd, TURNER |
State: | ME |
Postal Code: | 042823521 |
Phone Number: | 2072252857 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OT665 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |