Organization
THI OF MAINE AT INTEGRATED REHAB LLC
Active
Other names
Maine Center for Integrated Rehab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MAYO (PRESIDENT)
(207) 989-2034
Entity
Organization
Contact information
Practice address
248 STATE STREET, BREWER, ME 04412
(207) 989-2034
(207) 989-5971
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163490002
—
ME
05
—
99911053
—
ME
Enumeration date
10/12/2006
Last updated
06/21/2011
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