Innovative Therapy, LLC

NPI #1053312470 in Richmond, Maine

Provider Information

NPI Number: 1053312470
Entity Type: Organization
Organization Name: Innovative Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 9, 2005
Last Updated: Jan 6, 2020

Practice Location

Address: 3 HOMESTEAD WAY
City: Richmond
State: Maine
ZIP Code: 04357-3728
Phone: (207) 737-7000

Authorized Official

Name: DOREEN HOLMES
Title: PRESIDENT/OWNER
Phone: (207) 737-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Physical Therapist	225100000X	Primary

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