Organization
SCARBOROUGH PHYSICAL THERAPY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE D TAIT PT (PRESIDENT)
(207) 883-1227
Entity
Organization
Contact information
Practice address
51 U.S. ROUTE ONE, SCARBOROUGH, ME 04074
(207) 883-1227
(207) 883-6199
Mailing address
51 U.S. ROUTE ONE, NONESUCH RIVER PLAZA, SUITE J, SCARBOROUGH, ME 04074
(207) 883-1227
(207) 883-6199
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126700000
—
ME
01
—
CA3341
RR MEDICARE
ME
01
—
Q0859
ANTHEM
ME
Enumeration date
12/08/2006
Last updated
08/29/2013
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