Organization
VILLAGE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EARL SMITH MSPT (PRESIDENT/OWNER)
(207) 839-9090
Entity
Organization
Contact information
Practice address
347 MAIN ST UNIT 1, GORHAM, ME 04038-1338
(207) 839-9090
(207) 839-9091
Mailing address
347 MAIN ST UNIT 1, GORHAM, ME 04038-1338
(207) 839-9090
(207) 839-9091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1931
ME
Other
Enumeration date
07/01/2012
Last updated
02/15/2023
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