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General NPI Number Information
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NPI Number | 1487028775
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Entity Type | Organization
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Legal Business Name | REFORM PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 45 FOREST FALLS DR STE B1
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City | YARMOUTH
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State | ME
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Zip | 04096-6999
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Country | US
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Telephone | 207-846-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 190 PLEASANT ST
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City | BRUNSWICK
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State | ME
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Zip | 04011-2213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS JILL PARTRIDGE
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Credential | OWNER
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Telephone | 207-725-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT4569
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT4350
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License Number State | ME
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