Organization
FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC
Active
Parent organization
FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC
Other names
Ageility Physical Therapy Solutions at 75 State Street
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC
Authorized official
KATHERINE E. POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
75 STATE ST, PORTLAND, ME 04101-3746
(207) 775-7775
Mailing address
75 STATE ST, PORTLAND, ME 04101-3746
(207) 775-7775
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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