Doctor Name: | MICHAEL A RICH |
NPI Number: | 1043569791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT1872 |
Business Practice Address: | 91 Camden St Ste 307 Rockland, ME - 048412421 |
Business Phone Number: | 2075936682 |
Business Fax Number: | |
Mailing Address: | 16 Pearl Street, CMADEN |
State: | ME |
Postal Code: | 048431920 |
Phone Number: | 2072307093 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2012 |
NPI Last Update Date: | 09/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT1872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |