Sunbury Primary Care, P.a.

NPI #1124113345 in Bangor, Maine

Provider Information

NPI Number: 1124113345
Entity Type: Organization
Organization Name: Sunbury Primary Care, P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: SUNBURY PRIMARY CARE, P.A.
Primary Specialty: Physical Therapist
Enumeration Date: Oct 4, 2006
Last Updated: Jan 21, 2009

Practice Location

Address: 133 CORPORATE DRIVE
Address 2: SUITE 2
City: Bangor
State: Maine
ZIP Code: 04401
Phone: (207) 992-9286

Authorized Official

Name: DAVID L SAVELL
Title: CHIEF EXECUTIVE OFFICER
Phone: (207) 942-7650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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