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NPI Code Detail

MEDICARE: ROSS AARON LEVESQUE DPT

MEDICARE: ROSS AARON LEVESQUE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT4180ME

General Provider Information

NPI Number : 1528460284
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS AARON LEVESQUE DPT
Provider Business Mailing Address
First Line : 529 S PATTEN RD
Second Line :
City : PATTEN
State : ME
Zip : 04765-3007
Country : US
Telephone Number : 207-538-3700
Fax Number : 207-528-2880
Provider Business Practice Location Address
First Line : 529 S PATTEN RD
Second Line :
City : PATTEN
State : ME
Zip : 04765-3007
Country : US
Telephone Number : 207-538-3700
Fax Number : 207-528-2880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 08/01/2023

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Directions to “ ROSS AARON LEVESQUE DPT” Practice Location

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