Organization
FRYEBURG PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE SLATER P.T. (SOLE MEMBER)
(207) 925-6803
Entity
Organization
Contact information
Practice address
5 S LOWER BAY RD, LOVELL, ME 04051-3536
(207) 925-6803
Mailing address
5 S LOWER BAY RD, LOVELL, ME 04051-3536
(207) 925-6803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431991000
—
ME
Enumeration date
08/19/2006
Last updated
07/10/2012
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