# PHYSICAL REHABILITATION OF SOUTHERN MAINE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary Macy MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144342585
- **Authorized official:** MARY A MACY M.D. (OWNER)
- **Authorized official phone:** (207) 854-1544

## Contact information

- **Practice address:** 335 BRIGHTON AVE, PORTLAND, ME 04102-2362
- **Practice address phone:** (207) 497-2996
- **Practice address fax:** (207) 497-3467
- **Mailing address:** PO BOX 810, WESTBROOK, ME 04098-0810
- **Mailing address phone:** (207) 854-1544
- **Mailing address fax:** (207) 854-1516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 014605 | ME | Yes |

## Other

- **Enumeration date:** 04/05/2007
- **Last updated:** 05/21/2020