Provider Demographics
NPI:1811981137
Name:RITCHIE, JOSEPH DAVID (AT,C , PTA)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DAVID
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:AT,C , PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 PAIGE LN
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-7631
Mailing Address - Country:US
Mailing Address - Phone:410-392-6096
Mailing Address - Fax:
Practice Address - Street 1:304-306 NORTH STREET STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921
Practice Address - Country:US
Practice Address - Phone:410-392-5550
Practice Address - Fax:410-398-6062
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer