Organization
WAKELAND PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LEE WAKELAND PT, DPT (PHYSICAL THERAPIST/OWNER)
(207) 667-4278
Entity
Organization
Contact information
Practice address
248 STATE ST, SUITE 3A, ELLSWORTH, ME 04605-1850
(207) 667-4278
(207) 667-4279
Mailing address
248 STATE STREET, SUITE 3A, ELLSWORTH, ME 04605
(207) 667-4278
(207) 667-4279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 1167
ME
Other
Enumeration date
08/03/2006
Last updated
03/09/2016
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