Provider Demographics
NPI:1548592108
Name:REICH, PAMELA NADINE (PT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:NADINE
Last Name:REICH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BIGELOW STREET
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139
Mailing Address - Country:US
Mailing Address - Phone:617-576-7400
Mailing Address - Fax:617-576-7435
Practice Address - Street 1:6 BIGELOW ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-2384
Practice Address - Country:US
Practice Address - Phone:617-576-7400
Practice Address - Fax:617-576-7435
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6152225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist