Organization
RICHARD BADER PHYSICAL THERAPY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BADER P.T. (PRESIDENT)
(207) 743-5493
Entity
Organization
Contact information
Practice address
176 MAIN ST, NORWAY, ME 04268-5643
(207) 743-5493
Mailing address
176 MAIN ST, NORWAY, ME 04268-5643
(207) 743-5493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134710000
—
ME
01
—
MM8886
PTAN
ME
Enumeration date
09/14/2006
Last updated
07/27/2016
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