Individual
TEDDY KAJKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
735 WILSON ST, BREWER, ME 04412
(207) 989-1567
(207) 989-2287
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2933
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432298299
—
ME
Enumeration date
07/04/2006
Last updated
05/06/2021
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