Organization
THE M.O.G.@ SACO BAY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J MCCORMICK PT (OWNER/PARTNER/PT)
(207) 347-3030
Entity
Organization
Contact information
Practice address
29 FODEN ROAD, SO PORT, ME 04106
(207) 347-3030
(207) 879-4246
Mailing address
29 FODEN ROAD, SOUTH PORTLAND, ME 04106
(207) 347-3030
(207) 879-4246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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