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Organization

FORZA PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIRK JACOB KOKMEYER PT, PHD, DPT (CEO, OWNER)
(970) 471-0387
Entity
Organization

Contact information

Practice address
46 BANGOR ST STE 3, AUGUSTA, ME 04330-4870
(970) 471-0387
Mailing address
46 BANGOR ST STE 3, AUGUSTA, ME 04330-4870
(970) 471-0387

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist
225X00000X
Occupational Therapist
225XH1200X
Hand Occupational Therapist

Other

Enumeration date
06/06/2023
Last updated
06/06/2023
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