Doctor Name: | MRS. SHANNON ANN RICHARD |
NPI Number: | 1356423628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2305203839 |
Business Practice Address: | 10124 W Broad St Ste K Glen Allen, VA - 230603330 |
Business Phone Number: | 8042736656 |
Business Fax Number: | |
Mailing Address: | 3417 Andover Hills Pl, RICHMOND |
State: | VA |
Postal Code: | 232945343 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305203839 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |