Premier Physical Therapy, LLC

NPI #1720035371 in Bridgton, Maine

Provider Information

NPI Number: 1720035371
Entity Type: Organization
Organization Name: Premier Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 28, 2006
Last Updated: Dec 6, 2016

Practice Location

Address: 316 PORTLAND RD
City: Bridgton
State: Maine
ZIP Code: 04009-4227
Phone: (207) 647-2727

Authorized Official

Name: LEO R CREDIT JR., PT
Title: INDIRECT OWNER
Phone: (207) 647-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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