Healthcare Provider Details

I. General information

NPI: 1629414776
Provider Name (Legal Business Name): CHRISTINA LEVESQUE MONROE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA LEVESQUE PT, DPT

II. Dates (important events)

Enumeration Date: 05/16/2013
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 PLEASANT ST
BRUNSWICK ME
04011-2213
US

IV. Provider business mailing address

152 MCKEEN ST
BRUNSWICK ME
04011-2900
US

V. Phone/Fax

Practice location:
  • Phone: 207-550-2078
  • Fax: 207-536-2265
Mailing address:
  • Phone: 207-550-2078
  • Fax: 207-536-2265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: