Individual
DIRK KOKMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, SCS, COMT
Contact information
Practice address
22 STATION AVE STE 201, BRUNSWICK, ME 04011-2092
(207) 721-8411
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4610
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093980484
—
ME
Enumeration date
04/25/2008
Last updated
09/08/2021
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