Doctor Name: | MARLENE BARRY |
NPI Number: | 1578945374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT1607 |
Business Practice Address: | Intermed On Site At Llbean Ofc Southend 7 Campus Drive Freeport, ME - 040330001 |
Business Phone Number: | 2075527452 |
Business Fax Number: | 2075527129 |
Mailing Address: | 100 Gannett Dr, Suite C SOUTH PORTLAND |
State: | ME |
Postal Code: | 041065900 |
Phone Number: | 2078280361 |
Fax Number: | 2078741483 |
NPI Enumeration Date: | 06/29/2015 |
NPI Last Update Date: | 06/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1607 |
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 |