Individual
JUDITH A WEATHERBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
881 POPLAR ST, OLD TOWN, ME 04468-5918
(207) 433-7778
(207) 433-7780
Mailing address
PO BOX 225, STILLWATER, ME 04489-0225
(207) 433-7778
(866) 220-5031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2464
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098049
BLUE CROSS & BLUE SHIELD
ME
01
—
P00295118
RAILROAD MEDICARE
ME
01
—
PT2464
PT LICENSE
ME
Enumeration date
06/11/2006
Last updated
09/05/2007
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