Richardson, Octavia Deshaun

Richardson, Octavia Deshaun is an sole proprietor health care provider with primary practice located at 20265 Emery Rd , North Randall OH 44128-4122. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Richardson, Octavia Deshaun can be contacted via phone (216) 584-2720.

Contact Information

Primary practice address
20265 Emery Rd North Randall OH 44128-4122
Phone: (216) 584-2720
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 06426 Ohio

Profile Details

NPI number 1093831729
LBN Legal business name Richardson, Octavia Deshaun
Credentials LPTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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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