Organization
CHILD HEALTH CENTER-PHYSICAL THERAPY
Active
Organization
CHILD HEALTH CENTER-PHYSICAL THERAPY
Active
Parent organization
CHILD HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILD HEALTH CENTER
Authorized official
MR. RAYMOND R HATCH (EXECUTIVE DIRECTOR)
(207) 743-7035
Entity
Organization
Contact information
Practice address
16 MADISON AVE, OXFORD, ME 04270-3579
(207) 743-7035
(207) 743-2970
Mailing address
16 MADISON AVE, OXFORD, ME 04270-3579
(207) 743-7035
(207) 743-2970
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
210451
ME
261QD1600X
Developmental Disabilities Clinic/Center
Primary
210451
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109760400
—
ME
05
—
109760401
—
ME
Enumeration date
05/27/2009
Last updated
05/27/2009
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