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Organization

FOUNDATIONS PEDIATRICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KERRY AR VOLK MSPT, BOCO (MEMBER)
(207) 781-5369
Entity
Organization

Contact information

Practice address
170 US ROUTE 1, SUITE 180, FALMOUTH, ME 04105-2154
(207) 781-5369
(207) 781-5862
Mailing address
170 US ROUTE 1, SUITE 180, FALMOUTH, ME 04105-2154
(207) 781-5369
(207) 781-5862

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C52330
ME
2251P0200X
Pediatric Physical Therapist
Primary
PT1672
ME

Other

Enumeration date
05/31/2016
Last updated
05/31/2016
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