Organization
ORTHOPAEDIC PHYSICAL THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH NEIL SIMONS PT, DPT, MS,OCS (PRESIDENT)
(207) 324-6789
Entity
Organization
Contact information
Practice address
1068 MAIN ST, SUITE A, SANFORD, ME 04073
(207) 324-6789
(207) 324-9394
Mailing address
1068 MAIN ST, SUITE A, SANFORD, ME 04073-3606
(207) 324-6789
(207) 324-9394
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034720
ANTHEM
ME
05
—
134210000
—
ME
01
—
MN2093
HARVARD PILGRIM
ME
Enumeration date
06/25/2006
Last updated
08/30/2023
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