Organization
PINE TREE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTY L. STOUT M.S., P.T. (PRESIDENT)
(207) 942-2266
Entity
Organization
Contact information
Practice address
760 UNION ST, BANGOR, ME 04401-3125
(207) 942-2266
(207) 942-7577
Mailing address
760 UNION ST, BANGOR, ME 04401-3125
(207) 942-2266
(207) 942-7577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/23/2005
Last updated
02/06/2013
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