Organization
WILDWOOD MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL KATZ PT NC (PRESIDENT)
(207) 347-7132
Entity
Organization
Contact information
Practice address
83 INDIA ST, PORTLAND, ME 04101-4210
(207) 347-7132
(207) 839-2197
Mailing address
PO BOX 7412, PORTLAND, ME 04112
(207) 347-7132
(207) 839-2197
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC281
ME
171100000X
Acupuncturist
AC308
ME
225100000X
Physical Therapist
Primary
PT3116
ME
Other
Enumeration date
06/04/2008
Last updated
09/08/2014
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