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Individual

RICHARD ANDREW RECICAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
611 FEDERAL ST, SUITE 1, MILTON, DE 19968-1115
(410) 822-4613
(410) 822-6534
Mailing address
406 MARVEL CT, EASTON, MD 21601-4052
(410) 822-4613
(410) 822-6534

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18765
MD
225100000X
Physical Therapist
Primary
J10001086
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000220726
DE
Enumeration date
11/03/2006
Last updated
07/08/2007
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