# RIVERTREE OSTEOPATHIC HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Freeport Osteopathic Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093002438
- **Authorized official:** DR. JACEY E GODDARD D.O. (DIRECTOR/OFFICER)
- **Authorized official phone:** (207) 865-6655

## Contact information

- **Practice address:** 460 AUGUSTA RD APT B, TOPSHAM, ME 04086-5728
- **Practice address phone:** (207) 865-6655
- **Practice address fax:** (207) 865-6653
- **Mailing address:** 460 AUGUSTA RD APT B, TOPSHAM, ME 04086-5728
- **Mailing address phone:** (207) 865-6655
- **Mailing address fax:** (207) 865-6653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 1766 | ME | Yes |

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 11/28/2022