| NPI Details | |
|---|---|
| NPI | 1710092101 |
| Enumeration Date | 08/19/2006 |
| Last Updated | 07/10/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | CONSTANCE CONSTANCE |
| Position | SOLE MEMBER |
| Phone | (207) 925-6803 |
| Fax | |
| Practice Location | |
|---|---|
| 5 S LOWER BAY RD LOVELL ME, 04051-3536, US |
|
| Phone | (207) 925-6803 |
| Fax | |
| Business Location | |
|---|---|
| 5 S LOWER BAY RD LOVELL ME, 04051-3536, US |
|
| Phone | (207) 925-6803 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | |
| License Number | |
| Remove 1710092101 NPI Number | |
According to our database, Fryeburg Physical Therapy Llc NPI is 1710092101, taxonomy code is 225100000X Fryeburg Physical Therapy Llc physically located at 5 S Lower Bay Rd, Lovell ME, 04051-3536. NPI Number 1033115704 has the healthcare provider type.
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1710092101 NPI number is provided on an as is basis without warranty of any kind. 1710092101 is maintained by the National Plan & Provider Enumeration System. The contents of Fryeburg Physical Therapy Llc are for informational purposes only.
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