NPI 1336315514

Charles William Richardson, LPTA

Practitioner Physical Therapy Assistant Beverly, MA

Practice location

Address: 75 Brimbal Ave, Beverly, MA 01915-6009
Phone: (978) 927-2020
Fax: (972) 922-4643

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2709 (MA)

Other Physical Therapy Assistant providers in Massachusetts →

Registry record

NPI: 1336315514
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2008
Record last updated: 7 May 2008

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.