Doctor Name: | MRS. WENDY BOYD RICH |
NPI Number: | 1144537309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT1871 |
Business Practice Address: | 145 Kalers Corner St Waldoboro, ME - 045726001 |
Business Phone Number: | 2078322103 |
Business Fax Number: | |
Mailing Address: | 16 Pearl St, CAMDEN |
State: | ME |
Postal Code: | 048431920 |
Phone Number: | 2072363135 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2010 |
NPI Last Update Date: | 09/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT1871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |