Healthcare Provider Details

I. General information

NPI: 1194396747
Provider Name (Legal Business Name): RIVERVIEW PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 AUBURN ST STE 103
PORTLAND ME
04103-2141
US

IV. Provider business mailing address

94 AUBURN ST STE 103
PORTLAND ME
04103-2141
US

V. Phone/Fax

Practice location:
  • Phone: 207-797-7578
  • Fax:
Mailing address:
  • Phone: 207-797-7578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: EVP
Credential:
Phone: 713-297-7000