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MR. PATRICK WADE RIFFE PTA
>> Mechanotherapist >> Other Service ProvidersRegistrant NPI Number: 1760662134
Individual Registrant:MR. PATRICK WADE RIFFE PTA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
973 WOODBURY PIKE HOPEWELL, PA 16650-7727 US
Tel: 814-889-9568 Fax: --
Tel: 814-889-9568 Fax: --
Contact information for business:
973 WOODBURY PIKE HOPEWELL, PA 16650-7727 US
Tel: 814-889-9568 Fax: --
Tel: 814-889-9568 Fax: --
Registration Information:
NPI: 1760662134
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 172M00000X | Other Service Providers Mechanotherapist | MD | A3206 |
| N | 172M00000X | Other Service Providers Mechanotherapist | PA | TE007995 |
| Y | 172M00000X | Other Service Providers Mechanotherapist | TX | 2064616 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
