Organization
POUZOL PHYSICAL THERAPY, PA
Active
Other names
Philip Pouzol Physical Therapy, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS J KINY PT (OWNER)
(207) 990-2050
Entity
Organization
Contact information
Practice address
33 PENN PLAZA, SUITE B, BANGOR, ME 04401
(207) 990-2050
(207) 990-2051
Mailing address
33 PENN PLAZA, SUITE B, BANGOR, ME 04401
(207) 990-2050
(207) 990-2051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
744
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124440000
—
ME
Enumeration date
10/05/2006
Last updated
11/22/2016
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