Organization
MAINE ORTHOTIC AND PROSTHETIC REHAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH E PERKINS C.O., P.T. (PRESIDENT)
(207) 773-8818
Entity
Organization
Contact information
Practice address
300 PARK AVE, PORTLAND, ME 04102-2914
(207) 773-8818
(207) 773-1204
Mailing address
300 PARK AVE, PORTLAND, ME 04102-2914
(207) 773-8818
(207) 773-1204
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115790000
—
ME
Enumeration date
03/08/2007
Last updated
09/03/2009
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