Doctor Name: | DR. MICHAEL RYAN DORMO |
NPI Number: | 1538536859 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 21978 |
Business Practice Address: | 620 Bedford St Bridgewater, MA - 023243180 |
Business Phone Number: | 5082790033 |
Business Fax Number: | |
Mailing Address: | 116 Marlborough St Apt 2, BOSTON |
State: | MA |
Postal Code: | 021161910 |
Phone Number: | 3308196726 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2015 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |