Organization
DOWN EAST ORTHOPEDIC ASSOCIATES
Active
Other names
Acadia Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY HUGHES (ADMINISTRATOR)
(207) 947-8381
Entity
Organization
Contact information
Practice address
404 STATE ST, SUITE 400, BANGOR, ME 04401-6623
(207) 942-7630
(207) 942-5686
Mailing address
404 STATE ST, SUITE 400, BANGOR, ME 04401-6623
(207) 942-7630
(207) 942-5686
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT2184
ME
225100000X
Physical Therapist
Primary
PT3023
ME
225X00000X
Occupational Therapist
OT1533
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3202508
CIGNA GROUP ID
ME
01
—
MN2318
HARVARD PILGRIM GROUP ID
ME
Enumeration date
03/06/2007
Last updated
04/24/2008
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