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Organization
FREEPORT PHYSICAL THERAPY, PA
Active
Organization
FREEPORT PHYSICAL THERAPY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GORDON HALDEMAN PT (OWNER AND PROVIDER)
(207) 865-0004
Entity
Organization
Contact information
Practice address
303 US ROUTE 1, SUITE 1B, FREEPORT, ME 04032-7007
(207) 865-0004
(207) 865-3004
Mailing address
303 US ROUTE 1, SUITE 1B, FREEPORT, ME 04032-7007
(207) 865-0004
(207) 865-3004
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/10/2006
Last updated
05/23/2008
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