Performance Physical Therapy And Sports Rehab Inc.

NPI 1215333554 - Physical Therapist - 225100000X

NPI Details
NPI 1215333554
Enumeration Date 11/14/2014
Last Updated 11/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRADLEY LAWRENCE BRADLEY
Position CEO/PHYSICAL THERAPIST
Phone (207) 356-9810
Fax
Practice Location
277 STATE ST
SUITE 1B
BANGOR ME, 04401-5439, US
Phone (207) 356-9810
Fax
Business Location
95 SUNSET STRIP
BREWER ME, 04412-1632, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Maine
License Number PT4035
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According to our database, Performance Physical Therapy And Sports Rehab Inc. NPI is 1215333554, taxonomy code is 225100000X and license number is PT4035, license state is located at Maine. Performance Physical Therapy And Sports Rehab Inc. physically located at 277 State St, Bangor ME, 04401-5439. NPI Number 1033115704 has the healthcare provider type.

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1215333554 NPI number is provided on an as is basis without warranty of any kind. 1215333554 is maintained by the National Plan & Provider Enumeration System. The contents of Performance Physical Therapy And Sports Rehab Inc. are for informational purposes only.