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Contact Information

MICHAEL RIDEOUT, PT
114 MILL ST
CAMBRIDGE, MD21613-1629
 Phone: 124-099-4493
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MICHAEL RIDEOUT · (Male)

NPI # 1295169142
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/28/2013
Last updated 10/05/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 20895
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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