Pediatric Physical Therapy Connection

NPI #1649280637 in Falmouth, Maine

Provider Information

NPI Number: 1649280637
Entity Type: Organization
Organization Name: Pediatric Physical Therapy Connection
Primary Specialty: Orthotist
Enumeration Date: Aug 9, 2006
Last Updated: Feb 21, 2008

Practice Location

Address: 170 US ROUTE ONE
Address 2: SUITE 180
City: Falmouth
State: Maine
ZIP Code: 04105
Phone: (207) 781-5369

Authorized Official

Name: MS. BRENDA MATTSON, PT BOCO
Title: OWNER PHYSICAL THERAPIST ORTHOTIST
Phone: (207) 781-5369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Orthotist	222Z00000X	Primary

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