Individual
DR. MATTHEW DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2121
Mailing address
3 GOOSEFARE LN, SACO, ME 04072-1517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5383
ME
2251X0800X
Orthopedic Physical Therapist
PT5383
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659934743
—
ME
Enumeration date
04/15/2019
Last updated
09/07/2021
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