Organization
PORTLAND PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DYER (SECRETARY)
(207) 874-8133
Entity
Organization
Contact information
Practice address
196 ALLEN AVE, PORTLAND, ME 04103-3711
(207) 874-8133
Mailing address
196 ALLEN AVE, PORTLAND, ME 04103-3711
(207) 874-8133
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
PT228
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT228
BOARD OF EXAMINERS IN PHYSICAL THERAPY
ME
Enumeration date
09/20/2010
Last updated
09/20/2010
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