Provider Demographics
NPI:1750727442
Name:RICHARDSON, NASHAUNA J (OT)
Entity type:Individual
Prefix:
First Name:NASHAUNA
Middle Name:J
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:NASHAUNA
Other - Middle Name:N
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:8273 WINNSBORO RD
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-8878
Mailing Address - Country:US
Mailing Address - Phone:803-316-8527
Mailing Address - Fax:
Practice Address - Street 1:8273 WINNSBORO RD
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-8878
Practice Address - Country:US
Practice Address - Phone:803-316-8527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2676225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist