Organization Name: | EDGEWATER ORTHOPEDIC PHYSICAL THERAPY, LLC |
NPI Number: | 1053518332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL PELLETIER (CO-OWNER PHYSICAL THERAPIST) |
Mailing Address: | 98 Clearwater Dr Suite 3 Falmouth |
State: | ME US |
Postal Code: | 04105 |
Phone Number: | 2077819885 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 11/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |