Doctor Name: | TEDDY KAJKOWSKI |
NPI Number: | 1801826896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT2933 |
Business Practice Address: | 735 Wilson St Brewer, ME - 044121000 |
Business Phone Number: | 2079891567 |
Business Fax Number: | 2079892287 |
Mailing Address: | Po Box 1599, BANGOR |
State: | ME |
Postal Code: | 044021599 |
Phone Number: | 2079455247 |
Fax Number: | 2079470435 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 04/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2933 |
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 |