Provider Demographics
NPI:1063618072
Name:SCHRONCE, KIERSTEN E (PT)
Entity type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:E
Last Name:SCHRONCE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KIERSTEN
Other - Middle Name:E
Other - Last Name:PAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:1400 JOHNSTON WILLIS DR
Practice Address - Street 2:SUITE B
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4765
Practice Address - Country:US
Practice Address - Phone:804-379-3840
Practice Address - Fax:804-560-5029
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist