Individual
ALICIA MARIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
500 W. HOSPITAL STREET, TAYLOR, PA 18517
(570) 824-3444
(570) 824-4021
Mailing address
8 STRAWBERRY LN, DURYEA, PA 18642
(570) 824-3444
(570) 824-4021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015224L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1113730
AETNA HMO
PA
01
—
50053482
CAPITAL BLUE CROSS
PA
01
—
P01762404
PA BLUE SHIELD
PA
Enumeration date
07/03/2006
Last updated
01/14/2019
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