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Organization
BUCKSPORT PHYSICAL THERAPY, LLC
Active
Organization
BUCKSPORT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM L DE VERSTERRE P.T. (OWNER)
(207) 469-0786
Entity
Organization
Contact information
Practice address
34 US ROUTE 1, BUCKSPORT, ME 04416-0901
(207) 469-0786
(207) 469-9975
Mailing address
PO BOX 901, BUCKSPORT, ME 04416-0901
(207) 469-0786
(207) 469-9975
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
PT2563
ME
Other
Enumeration date
05/12/2010
Last updated
07/08/2015
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