Organization
RESULTS PHYSICAL AND OCCUPATIONAL THERAPY
Active
Other names
Exuberant Living PA
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL J LANE PT (OWNER)
(207) 992-4042
Entity
Organization
Contact information
Practice address
216 NORTH RD, DIXMONT, ME 04932-3212
(207) 992-4042
(207) 992-4043
Mailing address
216 NORTH RD, DIXMONT, ME 04932-3212
(207) 992-4042
(207) 992-4043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT1818
ME
174400000X
Specialist
OT1929
ME
174400000X
Specialist
Primary
OT790
ME
174400000X
Specialist
PT1423
ME
174400000X
Specialist
PT1665
ME
174400000X
Specialist
PT2697
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037494
BLUE CROSS BLUE SHIELD
ME
Enumeration date
03/07/2006
Last updated
08/22/2020
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