Organization
OPTIMAL PERFORMANCE PHYSICAL THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN BAILEY P.T. (OWNER)
(207) 510-6500
Entity
Organization
Contact information
Practice address
5 MILLBROOK RD, SCARBOROUGH, ME 04074-9702
(207) 510-6500
(207) 510-6565
Mailing address
5 MILLBROOK RD, SCARBOROUGH, ME 04074-9702
(207) 510-6500
(207) 510-6565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116674
CIGNA
—
01
—
355381700
WORKERS COMPENSATION
ME
01
—
3623516
AETNA
—
Enumeration date
09/21/2005
Last updated
12/20/2024
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