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NPI Code Detail

MEDICARE: CYNTHIA RICHMOND P.T.

MEDICARE: CYNTHIA RICHMOND P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist32331AZ

General Provider Information

NPI Number : 1659404150
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA RICHMOND P.T.
Provider Business Mailing Address
First Line : 15164 N 140TH DR APT 3110
Second Line :
City : SURPRISE
State : AZ
Zip : 85379-8590
Country : US
Telephone Number : 209-481-5093
Fax Number :
Provider Business Practice Location Address
First Line : 1617 S 67TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-7717
Country : US
Telephone Number : 623-707-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/22/2023

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Directions to “ CYNTHIA RICHMOND P.T.” Practice Location

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