NPI 1003163379
Jason N Richards, OT
Practice location
- Address
- 2200 Fort Jesse Rd, Normal, IL 61761-6286
- Phone
- (309) 888-9800
- Fax
- (866) 888-9198
Registered specialties
Occupational Therapist
Primary
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.