Organization
H2O FITNESS COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN COOKE MCALLISTER MPT (OWNER)
(802) 734-7544
Entity
Organization
Contact information
Practice address
245 GORHAM RD, SCARBOROUGH, ME 04074-9558
(802) 734-7544
Mailing address
32 MCKENNEY POINT RD, CAPE ELIZABETH, ME 04107-9541
(802) 734-7544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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