Intermed, PA
NPI #1578952446 in South Portland, Maine
Provider Information
- NPI Number
- 1578952446
- Entity Type
- Organization
- Organization Name
- Intermed, PA
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 15, 2015
- Last Updated
- Aug 21, 2025
Practice Location
- Address
- 50 FODEN RD
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-1718
- Phone
- (207) 780-8860
Authorized Official
- Name
- ROGER A. POITRAS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (207) 347-2853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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