Organization
PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHAEL PERCOCO PT (DIRECTOR OF OUTPATIENT SERVICES)
(860) 918-4742
Entity
Organization
Contact information
Practice address
142 NEPTUNE DR, BRUNSWICK, ME 04011-2882
(860) 610-0400
Mailing address
850 SILAS DEANE HWY FL 2, WETHERSFIELD, CT 06109-3440
(860) 610-0400
(860) 610-0007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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