Doctor Name: | MICHELE DELVECCHIO BICKFORD |
NPI Number: | 1275728552 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 8249 |
Business Practice Address: | 541 Main St Ste 103 Stetson Place South Weymouth, MA - 021901857 |
Business Phone Number: | 7813319600 |
Business Fax Number: | 7813351556 |
Mailing Address: | 541 Main St Ste 103, Stetson Place SOUTH WEYMOUTH |
State: | MA |
Postal Code: | 021901857 |
Phone Number: | 7813319600 |
Fax Number: | 7813351556 |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 09/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 8249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |