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NPI Code Detail

MEDICARE: PORT CITY PHYSICAL THERAPY LIMITED PARTNERSHIP

MEDICARE: PORT CITY PHYSICAL THERAPY LIMITED PARTNERSHIP
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
1225100000XPhysical Therapist
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1811088263
Entity Type Code : Organization
Provider Name (Legal Business Name) : PORT CITY PHYSICAL THERAPY LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 94 AUBURN ST
Second Line : SUITE 3
City : PORTLAND
State : ME
Zip : 04103-2141
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 NORTHBROOK DR
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-1318
Country : US
Telephone Number : 207-347-6923
Fax Number : 207-347-6924
Authorized Official
Title or Position : VP,AUTHORIZED OFFICIAL
Name : CHRISTOPHER D CORRIGAN
Credential : JD
Telephone Number : 713-297-7000
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/23/2010

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Directions to “PORT CITY PHYSICAL THERAPY LIMITED PARTNERSHIP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.