IndividualActive
Octavia Richardson
NPI 1306619796 · Contractor · Logansport, LA
Provider details
- NPI number
- 1306619796
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
501 N Bogle Rd Apt 16
Logansport, LA 71049-2613
Phone: (936) 427-0374
Approximate (ZIP-level) locationGet directions
Mailing address
501 N Bogle Rd Apt 16
Logansport, LA 71049-2613
Registry dates
- Enumerated
- 2023-11-06
- Last updated
- 2023-11-06
- Certified
- 2023-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.