| Doctor Name: | MR. RICK NELSON PROTHERO |
| NPI Number: | 1306846985 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 14518 |
| Business Practice Address: | 807a S Union Ave Havre De Grace, MD - 210783610 |
| Business Phone Number: | 4109392262 |
| Business Fax Number: | 4109397119 |
| Mailing Address: | 807a S Union Ave, HAVRE DE GRACE |
| State: | MD |
| Postal Code: | 210783610 |
| Phone Number: | 4109392262 |
| Fax Number: | 4109397119 |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 09/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 14518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |