Provider Demographics
NPI:1558609263
Name:RITCHEY, DEBORAH L
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4863 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:HONEY GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17035-7270
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4863 MIDDLE RD
Practice Address - Street 2:
Practice Address - City:HONEY GROVE
Practice Address - State:PA
Practice Address - Zip Code:17035-7270
Practice Address - Country:US
Practice Address - Phone:717-734-3610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI001509225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant