Michele Delvecchio Bickford, PHYSICAL THERAPIST

Individual provider Active NPI Orthopedic Physical Therapist · South Weymouth, MA

NPI 1275728552 · NPPES record last updated Sep 11, 2007

Key facts

NPI
1275728552
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
8249 (MA)
Practice address
541 Main St Ste 103
Stetson Place
South Weymouth, MA 02190-1857
Phone
(781) 331-9600
Fax
(781) 335-1556
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8249MAMDOrthopedic Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8249 MA Yes

Addresses

Primary practice location

541 Main St Ste 103
Stetson Place
South Weymouth, MA 02190-1857

Mailing address

541 Main St Ste 103
Stetson Place
South Weymouth, MA 02190-1857
Phone (781) 331-9600

Other providers in South Weymouth, MA

All providers in South Weymouth, MA · Orthopedic Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.