Organization
EDGEWATER ORTHOPEDIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL PELLETIER DPT (CO-OWNER PHYSICAL THERAPIST)
(415) 425-1524
Entity
Organization
Contact information
Practice address
98 CLEARWATER DR, SUITE 3, FALMOUTH, ME 04105
(207) 781-9885
Mailing address
74 VESPER ST, PORTLAND, ME 04101-4432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3114
ME
Other
Enumeration date
06/29/2007
Last updated
11/13/2007
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