Organization Name: | ORTHOPAEDIC PHYSICAL THERAPY ASSOCIATES |
NPI Number: | 1063622702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH N SIMONS (PRESIDENT) |
Mailing Address: | 360 Us Route 1 Scarborough |
State: | ME US |
Postal Code: | 040749772 |
Phone Number: | 2078836789 |
Fax Number: | 2078859394 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |