Wildwood Medicine

NPI #1063671121 in Portland, Maine

Provider Information

NPI Number: 1063671121
Entity Type: Organization
Organization Name: Wildwood Medicine
Primary Specialty: Physical Therapist
Enumeration Date: Jun 4, 2008
Last Updated: Sep 8, 2014

Practice Location

Address: 83 INDIA ST
City: Portland
State: Maine
ZIP Code: 04101-4210
Phone: (207) 347-7132

Authorized Official

Name: MR. DANIEL KATZ, PT NC
Title: PRESIDENT
Phone: (207) 347-7132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Physical Therapist	225100000X	Primary

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