Individual
MR. PATRICK WADE RIFFE
Active
Individual
MR. PATRICK WADE RIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2064616
TX
172M00000X
Mechanotherapist
A3206
MD
172M00000X
Mechanotherapist
TE007995
PA
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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