Healthcare Provider Details

I. General information

NPI: 1477589364
Provider Name (Legal Business Name): RALPH FRANCESCHINI MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 S BRIDGE ST COMMERCIAL PLAZA
ELKTON MD
21921
US

IV. Provider business mailing address

1812 MARSH RD STORE 505
WILMINGTON DE
19810-4581
US

V. Phone/Fax

Practice location:
  • Phone: 410-392-0800
  • Fax: 410-392-0815
Mailing address:
  • Phone: 302-793-1800
  • Fax: 302-793-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ10000896
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17095
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: