Organization
LABRIE-HUNT HOLDINGS, LLC
Active
Other names
Atlantic Rehab & Lymphedema Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY W HUNT (CHIEF FINANCIAL OFFICER)
(207) 703-0072
Entity
Organization
Contact information
Practice address
37 ROUTE 236 STE 205, KITTERY, ME 03904-6001
(207) 703-0072
(207) 703-0199
Mailing address
PO BOX 276, DOVER, NH 03821-0276
(207) 703-0072
(603) 343-2745
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1012
NH
225X00000X
Occupational Therapist
Primary
OT167
ME
261QP2000X
Physical Therapy Clinic/Center
PT1739
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7158150001
MEDICARE DMEPOS
ME
01
—
E100164942
MEDICARE GRP OT/PT/ST
ME
Enumeration date
05/22/2014
Last updated
06/25/2015
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