North Star Pediatric Therapy LLC

NPI #1063225837 in Caribou, Maine

Provider Information

NPI Number: 1063225837
Entity Type: Organization
Organization Name: North Star Pediatric Therapy LLC
Primary Specialty: Clinic/Center - Rehabilitation
Enumeration Date: Jan 27, 2025
Last Updated: Sep 15, 2025

Practice Location

Address: 552 MAIN ST
City: Caribou
State: Maine
ZIP Code: 04736-4404
Phone: (207) 498-9507

Authorized Official

Name: RAINALD GERVAIS III
Title: CLINIC ADMINISTRATOR
Phone: (207) 498-9507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X	Primary

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