Richardson, Traci Elise

Richardson, Traci Elise is an sole proprietor health care provider with primary practice located at 2475 Southern Blvd. , Bronx NY 10458. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Richardson, Traci Elise can be contacted via phone (718) 584-6390.

Contact Information

Primary practice address
2475 Southern Blvd. Bronx NY 10458
Phone: (718) 584-6390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 017822-1 New York

Profile Details

NPI number 1124360177
LBN Legal business name Richardson, Traci Elise
Credentials MA, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2013
Last updated Mar 18th, 2014 - about 12 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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