Individual
MR. ROBERT ROLAND RICHARD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
700 SACO RD, STANDISH, ME 04084-6240
(207) 648-7841
(207) 929-9147
Mailing address
52 TERI CIR APT 141, WESTBROOK, ME 04092-3983
(207) 615-7120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT387
ME
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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