Provider Demographics
NPI:1831200328
Name:PARE, DAVID PLACIDE (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:PLACIDE
Last Name:PARE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 STONE ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5222
Mailing Address - Country:US
Mailing Address - Phone:207-621-6378
Mailing Address - Fax:207-213-4116
Practice Address - Street 1:75 STONE ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5222
Practice Address - Country:US
Practice Address - Phone:207-621-6378
Practice Address - Fax:207-213-4116
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT1778225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist