MEDICARE: PAULINE HILL PT

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	174400000X	Specialist	PT841	ME

General Provider Information

NPI Number	:	1659587251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINE HILL PT

Provider Business Mailing Address
First Line	:	PO BOX 190
Second Line	:
City	:	LIMINGTON
State	:	ME
Zip	:	04049-0190
Country	:	US
Telephone Number	:	207-637-3522
Fax Number	:	207-637-3655

Provider Business Practice Location Address
First Line	:	8 JOE WEBSTER ROAD, SUITE A
Second Line	:
City	:	LIMINGTON
State	:	ME
Zip	:	04049-0190
Country	:	US
Telephone Number	:	207-637-3522
Fax Number	:	207-637-3655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	12/30/2007

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Directions to “ PAULINE HILL PT” Practice Location

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