Organization
PREMIER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO R CREDIT JR. PT (INDIRECT OWNER)
(207) 647-2727
Entity
Organization
Contact information
Practice address
316 PORTLAND RD, BRIDGTON, ME 04009-4227
(207) 647-2727
(207) 647-2734
Mailing address
PO BOX 347, GRAY, ME 04039-0347
(207) 647-2727
(207) 647-2734
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
12/06/2016
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