Organization
MAINE CENTERS FOR HEALTHCARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN B PICKUS D.O. (MEDICAL DIRECTORY)
(207) 857-9311
Entity
Organization
Contact information
Practice address
980 FOREST AVE, PORTLAND, ME 04103-3336
(207) 347-7853
(207) 347-7855
Mailing address
980 FOREST AVE, PORTLAND, ME 04103-3336
(207) 347-7853
(207) 347-7855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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