Provider Demographics
NPI:1265477038
Name:DEMONT, RICHARD G (PHD, ATC, CAT(C))
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:G
Last Name:DEMONT
Suffix:
Gender:M
Credentials:PHD, ATC, CAT(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7318 SHERBROOKE ST W
Mailing Address - Street 2:
Mailing Address - City:MONTREAL
Mailing Address - State:QC
Mailing Address - Zip Code:H4B1R7
Mailing Address - Country:CA
Mailing Address - Phone:514-848-2424
Mailing Address - Fax:514-848-8681
Practice Address - Street 1:7141 SHERBROOKE ST W
Practice Address - Street 2:
Practice Address - City:MONTREAL
Practice Address - State:QC
Practice Address - Zip Code:H4B1R6
Practice Address - Country:CA
Practice Address - Phone:514-848-2424
Practice Address - Fax:514-848-8681
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer