Healthcare Provider Details

I. General information

NPI: 1881693299
Provider Name (Legal Business Name): STEPHANIE KAY BEAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 04/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7465 LANCASTER PIKE BLDG 1
HOCKESSIN DE
19707-9583
US

IV. Provider business mailing address

322 ELIOT CIR
COATESVILLE PA
19320-2576
US

V. Phone/Fax

Practice location:
  • Phone: 302-234-4261
  • Fax: 302-239-7306
Mailing address:
  • Phone: 610-383-0331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number006755L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0002976
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: