Organization
ORTHOPAEDIC PHYSICAL THERAPY ASSOCIATES
Active
Parent organization
OTHOPAEDIC PHYSICAL THERAPY ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTHOPAEDIC PHYSICAL THERAPY ASSOCIATES
Authorized official
MR. KENNETH N SIMONS PT,DPT,MS,OCS (PRESIDENT)
(207) 883-6789
Entity
Organization
Contact information
Practice address
360 US ROUTE 1, SCARBOROUGH, ME 04074-9772
(207) 883-6789
(207) 885-9394
Mailing address
360 US ROUTE 1, SCARBOROUGH, ME 04074-9772
(207) 883-6789
(207) 885-9394
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT966
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048994
ANTHEM
ME
01
—
MN2093
HARVARD PILGRIM
ME
Enumeration date
05/23/2007
Last updated
12/06/2007
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