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Gerald Richardson, LLMSW
NPI 1336741115 · on the registry since 2020 · sole proprietor
Practice
- Address
- 216 Munson Ave Ste A
Traverse City, MI 49686 - Phone
- (616) 301-8000
- Organisation at this address
- Active Physical Therapy Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan