Organization Name: | MAINE PHYSICAL THERAPY LIMITED PARTNERSHIP |
NPI Number: | 1073621751 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANNA P. KING (VP,AUTHORIZED OFFICIAL) |
Mailing Address: | 28 College Ave Waterville |
State: | ME US |
Postal Code: | 049016105 |
Phone Number: | 2078734302 |
Fax Number: | 2078734508 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |