Whalio Doctors

NPI 1003163379

Jason N Richards, OT

Practitioner Occupational Therapist Normal, IL

Practice location

Address
2200 Fort Jesse Rd, Normal, IL 61761-6286
Phone
(309) 888-9800
Fax
(866) 888-9198

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 056.007160 (IL)

Registry record

NPI
1003163379
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Aug 2012
Record last updated
6 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.