Provider Demographics
NPI:1720263866
Name:RICHARDS, CYNTHIA HUFFARD (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:HUFFARD
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6104 CHADSWORTH TER
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-6920
Mailing Address - Country:US
Mailing Address - Phone:804-364-1294
Mailing Address - Fax:
Practice Address - Street 1:5030 SADLER PL
Practice Address - Street 2:STE 102
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6146
Practice Address - Country:US
Practice Address - Phone:804-747-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202001225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist