Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAVEN R FULFORD, PT
ActivePhysical Therapy Assistant · SCARBOROUGH, ME
Registration Details
- NPI Number
- 1760927347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2017 (9.3118924437782 yrs)
- Last Updated
- Feb 27, 2018
- License
-
PT4184 (ME)
Practice Information
- Address
-
55 SPRING STREETSCARBOROUGH, ME, 04074Browse ME providers · Browse ZIP 04074
- Phone
- 2073967337
- Fax
- 2078854349
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SCARBOROUGH, ME
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE J RISIGO | PT | 1710986872 |
| STEPHEN CF MCDAVITT | MS, PT, FAAOMPT | 1770583510 |
| RYAN B CYR | PT | 1518967348 |
| HEIDI MARTINE SMART | PT | 1174568729 |
| MR. MICHAEL RAYMOND KANE | PT | 1427089143 |
| MRS. BECKY RAE DESMARAIS | MPT | 1467483339 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.