Healthcare Provider Details

I. General information

NPI: 1821422213
Provider Name (Legal Business Name): ERIC STRANIERO P.T., D.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2013
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 SILVER ST
WATERVILLE ME
04901-5813
US

IV. Provider business mailing address

482 STILLWATER AVE
OLD TOWN ME
04468-2190
US

V. Phone/Fax

Practice location:
  • Phone: 207-873-4638
  • Fax: 207-873-1541
Mailing address:
  • Phone: 207-827-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number4038
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: