Organization
SEABLUE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD RAYMOND OLSEN (OWNER/PHYSICAL THERAPIST)
(207) 706-6076
Entity
Organization
Contact information
Practice address
67 ATLANTIC HWY, NORTHPORT, ME 04849
(207) 706-6076
(877) 807-8994
Mailing address
PO BOX 165, LINCOLNVILLE, ME 04849-0165
(207) 706-6076
(877) 807-8994
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
ME
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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