Richardson, Johanne B

Richardson, Johanne B is an individual health care provider with primary practice located at 419A Vt Route 105 , Newport VT 05855-8531. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Richardson, Johanne B can be contacted via phone (802) 334-2400.

Contact Information

Primary practice address
419A Vt Route 105 Newport VT 05855-8531
Phone: (802) 334-2400
Fax: (802) 334-2550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0400003488 Vermont

Profile Details

NPI number 1356345847
LBN Legal business name Richardson, Johanne B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated May 2nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356345847 NPPES
Vermont MEDICAID 1008982

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