Richard Rosario

Individual provider Active NPI Recreation Therapist · Dighton, MA

NPI 1437522604 · NPPES record last updated Nov 10, 2015

Key facts

NPI
1437522604
Entity type
Individual (NPI type 1)
Primary specialty
Recreation Therapist 225800000X
Practice address
512 Brook St
Dighton, MA 02715-1107
Phone
(508) 328-0962
NPI assigned
Nov 10, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X Yes

Addresses

Primary practice location

512 Brook St
Dighton, MA 02715-1107

Mailing address

512 Brook St
Dighton, MA 02715-1107

Other providers in Dighton, MA

All providers in Dighton, MA · Recreation Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.