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NPI Code Detail

MEDICARE: RESULTS PHYSICAL AND OCCUPATIONAL THERAPY

MEDICARE: RESULTS PHYSICAL AND OCCUPATIONAL 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
1174400000XSpecialistPT1423ME
2174400000XSpecialistPT1665ME
3174400000XSpecialistOT1929ME
4174400000XSpecialistOT1818ME
5174400000XSpecialistPT2697ME
6174400000XSpecialistOT790ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1037494OTHERMEBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1861469082
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESULTS PHYSICAL AND OCCUPATIONAL THERAPY
Provider Business Mailing Address
First Line : 216 NORTH RD
Second Line :
City : DIXMONT
State : ME
Zip : 04932-3212
Country : US
Telephone Number : 207-992-4042
Fax Number : 207-992-4043
Provider Business Practice Location Address
First Line : 216 NORTH RD
Second Line :
City : DIXMONT
State : ME
Zip : 04932-3212
Country : US
Telephone Number : 207-992-4042
Fax Number : 207-992-4043
Authorized Official
Title or Position : OWNER
Name : CAROL J LANE
Credential : PT
Telephone Number : 207-992-4042
Provider Enumeration Date : 03/07/2006
Last Update Date : 08/22/2020

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Directions to “RESULTS PHYSICAL AND OCCUPATIONAL THERAPY ” Practice Location

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