Provider Demographics
NPI:1962633883
Name:RICHERS, STEPHANIE A (DPT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:RICHERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 LAUREN DR.
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-1613
Mailing Address - Country:US
Mailing Address - Phone:570-574-4439
Mailing Address - Fax:
Practice Address - Street 1:689 UNIONVILLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348
Practice Address - Country:US
Practice Address - Phone:610-444-9010
Practice Address - Fax:610-444-9027
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-020114225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist