Premier Physical Therapy-Midcoast, LLC

NPI #1609823756 in Brunswick, Maine

Provider Information

NPI Number: 1609823756
Entity Type: Organization
Organization Name: Premier Physical Therapy-Midcoast, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 34 HENNESSEY AVE
City: Brunswick
State: Maine
ZIP Code: 04011-2333
Phone: (207) 373-1101

Authorized Official

Name: LEO CREDIT, PT
Title: INDIRECT OWNER
Phone: (207) 373-1101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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