Organization
WOODBREY HAND & PEDIATRIC THERAPY, INC.
Active
Organization
WOODBREY HAND & PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH M WOODBREY JOHNSON OTR (PRESIDENT)
(207) 262-7173
Entity
Organization
Contact information
Practice address
281 BURLEIGH RD, BANGOR, ME 04401-2511
(207) 262-7173
(207) 947-2465
Mailing address
PO BOX 835, 281 BURLEIGH RD, BANGOR, ME 04402-0835
(207) 262-7173
(207) 947-2465
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OT219
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202200000
—
ME
Enumeration date
04/04/2007
Last updated
04/12/2013
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