Healthcare Provider Details

I. General information

NPI: 1063618072
Provider Name (Legal Business Name): KIERSTEN E SCHRONCE P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIERSTEN E PAGE P.T.

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 10/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 JOHNSTON WILLIS DR SUITE B
NORTH CHESTERFIELD VA
23235-4765
US

IV. Provider business mailing address

1115 BOULDERS PKWY SUITE 200
NORTH CHESTERFIELD VA
23225-4067
US

V. Phone/Fax

Practice location:
  • Phone: 804-379-3840
  • Fax: 804-560-5029
Mailing address:
  • Phone: 804-560-5595
  • Fax: 804-560-9029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: