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Organization

PREMIER PHYSICAL THERAPY-MIDCOAST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEO CREDIT PT (INDIRECT OWNER)
(207) 373-1101
Entity
Organization

Contact information

Practice address
34 HENNESSEY AVE, BRUNSWICK, ME 04011-2333
(207) 373-1101
(207) 373-1109
Mailing address
PO BOX 396, GRAY, ME 04039-0396
(207) 373-1101
(207) 373-1106

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
05/27/2006
Last updated
08/22/2020
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