Provider Demographics
NPI:1275728552
Name:BICKFORD, MICHELE DELVECCHIO (PHYSICAL THERAPIST)
Entity Type:Individual
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First Name:MICHELE
Middle Name:DELVECCHIO
Last Name:BICKFORD
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Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:541 MAIN ST STE 103
Mailing Address - Street 2:STETSON PLACE
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1857
Mailing Address - Country:US
Mailing Address - Phone:781-331-9600
Mailing Address - Fax:781-335-1556
Practice Address - Street 1:541 MAIN ST STE 103
Practice Address - Street 2:STETSON PLACE
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1857
Practice Address - Country:US
Practice Address - Phone:781-331-9600
Practice Address - Fax:781-335-1556
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
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Provider Licenses
StateLicense IDTaxonomies
MA82492251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic