Organization
LIGHT OF LIFE MINISTRIES INC
Active
Other names
Advanced Health Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE E CHAPMAN (ADMINISTRATOR)
(207) 622-9467
Entity
Organization
Contact information
Practice address
160 RIVERSIDE DR, AUGUSTA, ME 04330-4162
(207) 622-9467
(207) 623-2874
Mailing address
160 RIVERSIDE DR, AUGUSTA, ME 04330-4162
(207) 622-9467
(207) 623-2874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410460000
—
ME
Enumeration date
10/18/2005
Last updated
07/31/2013
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