Provider Demographics
NPI:1730547043
Name:RICHARDSON, WILLIAM J (PT, DPT, OCS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7500 ECKHERT RD
Mailing Address - Street 2:STE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3081
Mailing Address - Country:US
Mailing Address - Phone:210-253-9926
Mailing Address - Fax:726-238-3283
Practice Address - Street 1:7500 ECKHERT RD
Practice Address - Street 2:STE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3081
Practice Address - Country:US
Practice Address - Phone:210-253-9926
Practice Address - Fax:726-238-3283
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1265069225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist