Organization
LAKE REGION PHYSICAL THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A KLOFAS PT (BUSINESS OWNER)
(207) 647-2227
Entity
Organization
Contact information
Practice address
593 HARRISON RD, BRIDGTON, ME 04009
(207) 647-2227
(207) 647-2227
Mailing address
593 HARRISON RD, BRIDGTON, ME 04009
(207) 647-2227
(207) 647-2227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT254
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126780000
—
ME
Enumeration date
07/04/2006
Last updated
01/09/2013
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