Organization
PORT CITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J SULLIVAN M ED ATC (ATHLETIC TRAINER)
(617) 515-5915
Entity
Organization
Contact information
Practice address
94 AUBURN ST, SUITE 103 PORT CITY PHYSICAL THERAPY, PORTLAND, ME 04106
(207) 797-7578
(207) 797-8165
Mailing address
94 AUBURN ST, SUITE 103, PORTLAND, ME 04103
(207) 797-7578
(207) 797-8165
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT233
ME
Other
Enumeration date
05/03/2006
Last updated
08/22/2020
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