Provider Demographics
NPI:1851970685
Name:FUCHS, MADELINE JO (DPT)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:JO
Last Name:FUCHS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1693
Mailing Address - Country:US
Mailing Address - Phone:207-363-0888
Mailing Address - Fax:
Practice Address - Street 1:8 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1693
Practice Address - Country:US
Practice Address - Phone:207-363-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4779225100000X
MEPT5917225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist