Provider Demographics
NPI:1699141341
Name:RICHTER, EMILY SHAW (DPT)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:SHAW
Last Name:RICHTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1469 STEVENSON ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5108
Mailing Address - Country:US
Mailing Address - Phone:717-574-6184
Mailing Address - Fax:
Practice Address - Street 1:1420 KEY HWY STE 300
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5550
Practice Address - Country:US
Practice Address - Phone:410-230-7830
Practice Address - Fax:410-230-7831
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25645225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist