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Organization

FREEPORT PHYSICAL THERAPY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN GORDON HALDEMAN PT (OWNER AND PROVIDER)
(207) 865-0004
Entity
Organization

Contact information

Practice address
303 US ROUTE 1, SUITE 1B, FREEPORT, ME 04032-7007
(207) 865-0004
(207) 865-3004
Mailing address
303 US ROUTE 1, SUITE 1B, FREEPORT, ME 04032-7007
(207) 865-0004
(207) 865-3004

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098822
ANTHEM
ME
05
312660000
ME
01
3519267
CIGNA
ME
01
7938937
AETNA
ME
01
AA88121
HARVARD PILGRIM
ME
Enumeration date
11/10/2006
Last updated
05/23/2008
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