Healthcare Provider Details
I. General information
NPI: 1831014372
Provider Name (Legal Business Name): LOREN ANNETTE KLEIN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 LARRABEE RD STE 101
WESTBROOK ME
04092-4771
US
IV. Provider business mailing address
350 CLARKS POND PKWY APT 204
SOUTH PORTLAND ME
04106-7910
US
V. Phone/Fax
- Phone: 207-303-0612
- Fax: 207-303-0038
- Phone: 614-949-8014
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT7547 |
| License Number State | ME |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: