University of Maine

NPI #1437520764 in Orono, Maine

Provider Information

NPI Number: 1437520764
Entity Type: Organization
Organization Name: University of Maine
Primary Specialty: Physical Therapist
Enumeration Date: Oct 13, 2015
Last Updated: Oct 13, 2015

Practice Location

Address: 5747 MEMORIAL GYM
City: Orono
State: Maine
ZIP Code: 04469-5747
Phone: (207) 581-1072

Authorized Official

Name: MOUZON BASS III
Title: AGENT
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Sports — Sports	2251S0007X
Physical Therapist	225100000X	Primary

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