Provider Demographics
NPI:1801253273
Name:RICHIE, SUSAN HELEN (DPT)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:HELEN
Last Name:RICHIE
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 1:46 BRITTANY LN
Mailing Address - Street 2:
Mailing Address - City:GLENMOORE
Mailing Address - State:PA
Mailing Address - Zip Code:19343-1153
Mailing Address - Country:US
Mailing Address - Phone:717-413-8099
Mailing Address - Fax:
Practice Address - Street 1:46 BRITTANY LN
Practice Address - Street 2:
Practice Address - City:GLENMOORE
Practice Address - State:PA
Practice Address - Zip Code:19343-1153
Practice Address - Country:US
Practice Address - Phone:717-413-8099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021304225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist