MEDICARE: SHEEPSCOT BAY PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1356601074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEEPSCOT BAY PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 1367
Second Line	:
City	:	WALDOBORO
State	:	ME
Zip	:	04572-1367
Country	:	US
Telephone Number	:	207-832-5544
Fax Number	:	207-832-5507

Provider Business Practice Location Address
First Line	:	1607 ATLANTIC HWY
Second Line	:
City	:	WALDOBORO
State	:	ME
Zip	:	04572-6023
Country	:	US
Telephone Number	:	207-832-5544
Fax Number	:	207-832-5507

Authorized Official
Title or Position	:	OWNER
Name	:	JEAN E BEATTIE
Credential	:	PT, DPT
Telephone Number	:	207-832-5544

Provider Enumeration Date	:	05/29/2012
Last Update Date	:	04/08/2021

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Practice Location Address:

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Practice Location Address:

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1093293961 — STEPHEN SHARROW PT, DPT
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Directions to “SHEEPSCOT BAY PHYSICAL THERAPY ” Practice Location

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