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NPI Code Detail

MEDICARE: MRS. REBECCA S. DUBAY PT

MEDICARE: MRS. REBECCA S. DUBAY 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
1225100000XPhysical TherapistPT2960ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811910771
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA S. DUBAY PT
Provider Business Mailing Address
First Line : 73 ELM ST
Second Line : PO BOX 611
City : NORTH BERWICK
State : ME
Zip : 03906-6724
Country : US
Telephone Number : 207-676-9596
Fax Number : 207-676-9707
Provider Business Practice Location Address
First Line : 73 ELM ST
Second Line :
City : NORTH BERWICK
State : ME
Zip : 03906-6724
Country : US
Telephone Number : 207-676-9596
Fax Number : 207-676-9707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 04/30/2017

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