Livevital Physical Therapy & Performance

NPI #1417288747 in Portland, Maine

Provider Information

NPI Number: 1417288747
Entity Type: Organization
Organization Name: Livevital Physical Therapy & Performance
Primary Specialty: Physical Therapist
Enumeration Date: Jan 27, 2010
Last Updated: Jan 27, 2010

Practice Location

Address: 40 MAPLE STREET
City: Portland
State: Maine
ZIP Code: 04101
Phone: (207) 749-0617

Authorized Official

Name: DAVID T KNOP, PT
Title: OWNER/PRESIDENT
Phone: (207) 749-0617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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