Organization
ORTHOPAEDIC ASSOCIATES OF PORTLAND PERFORMANCE THERAPY
Active
Parent organization
ORTHOPAEDIC ASSOCIATES OF PORTLAND, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPAEDIC ASSOCIATES OF PORTLAND, P.A.
Authorized official
WILLIAM JOHN WIPFLER JD (CEO)
(207) 828-2100
Entity
Organization
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
(207) 828-2190
Mailing address
PO BOX 1260, PORTLAND, ME 04104-1260
(207) 828-2100
(207) 828-2190
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
08/26/2009
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