Mainehealth

NPI #1710218078 in Portland, Maine

Provider Information

NPI Number: 1710218078
Entity Type: Organization
Organization Name: Mainehealth
Primary Specialty: Physical Therapist
Enumeration Date: Jan 26, 2010
Last Updated: May 11, 2020

Practice Location

Address: 272 CONGRESS ST
City: Portland
State: Maine
ZIP Code: 04101
Phone: (207) 874-2466

Authorized Official

Name: LUGENE ANTHONY INZANA
Title: ASSOCAITE CFO
Phone: (207) 662-3538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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