Provider Demographics
NPI:1437573896
Name:RECHT, DEVORAH (T-DPT)
Entity Type:Individual
Prefix:
First Name:DEVORAH
Middle Name:
Last Name:RECHT
Suffix:
Gender:F
Credentials:T-DPT
Other - Prefix:
Other - First Name:DEVORAH
Other - Middle Name:
Other - Last Name:LIEBERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:53 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1320
Mailing Address - Country:US
Mailing Address - Phone:845-321-1814
Mailing Address - Fax:
Practice Address - Street 1:53 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1320
Practice Address - Country:US
Practice Address - Phone:845-321-1814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026659225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist