Doctor Name: | MARY BETH RICHARDSON |
NPI Number: | 1013080159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | PT 19049 |
Business Practice Address: | 1150 Veterans Blvd Redwood City, CA - 940632037 |
Business Phone Number: | 6502994049 |
Business Fax Number: | |
Mailing Address: | 2051 Menalto Ave, MENLO PARK |
State: | CA |
Postal Code: | 940252628 |
Phone Number: | 6503271980 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | PT 19049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |