Organization
WIGGLE WORMS PEDIATRIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERI A. STOORZA PT (OWNER)
(207) 351-3078
Entity
Organization
Contact information
Practice address
10 MARKET PLACE DR, UNIT 3B, YORK, ME 03909
(207) 351-3078
(207) 351-3083
Mailing address
10 MARKET PLACE DR, UNIT 3B, YORK, ME 03909
(207) 351-3078
(207) 351-3083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2283
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30394489
—
NH
05
—
432325200
—
ME
Enumeration date
11/24/2006
Last updated
05/18/2010
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