Wakeland Physical Therapy, LLC

NPI #1134137490 in Ellsworth, Maine

Provider Information

NPI Number: 1134137490
Entity Type: Organization
Organization Name: Wakeland Physical Therapy, LLC
Primary Specialty: Specialist
Enumeration Date: Aug 3, 2006
Last Updated: Mar 9, 2016

Practice Location

Address: 248 STATE ST
Address 2: SUITE 3A
City: Ellsworth
State: Maine
ZIP Code: 04605-1850
Phone: (207) 667-4278

Authorized Official

Name: MR. TIMOTHY LEE WAKELAND, PT, DPT
Title: PHYSICAL THERAPIST/OWNER
Phone: (207) 667-4278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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