Doctor Name: | STACY HELEN HENDERSON |
NPI Number: | 1821371121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT012110L |
Business Practice Address: | 1597 Washington Pike Suite A15 Bridgeville, PA - 150172894 |
Business Phone Number: | 4122781221 |
Business Fax Number: | 4122780201 |
Mailing Address: | 1597 Washington Pike, Suite A15 BRIDGEVILLE |
State: | PA |
Postal Code: | 150172894 |
Phone Number: | 4122781221 |
Fax Number: | 4122780201 |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT012110L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |