Dr. Stephanie Elizabeth Richardson, PT, DPT
Physical Therapist, Pediatrics in Oak Park, IL. Individual provider (NPI-1).
NPI number1164033494
StatusActive
Last updated in NPPESAug 11, 2020
Details
- NPI
- 1164033494
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie Elizabeth Richardson
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2020
- Certification date
- Aug 11, 2020
- Last updated
- Aug 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | – | – | Yes |
| 225100000X | Physical Therapist | – | – |
Practice location
719 N Marion StOak Park, IL 60302-1530
Phone 844-478-6878
Mailing address
719 N Marion StOak Park, IL 60302-1530
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