Prospect Inc.

NPI #1790830255 in Manchester, Maine

Provider Information

NPI Number: 1790830255
Entity Type: Organization
Organization Name: Prospect Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Jan 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6 ROCKWOOD DR.
Address 2: SUITE #2
City: Manchester
State: Maine
ZIP Code: 04351-0552
Phone: (207) 626-3333

Authorized Official

Name: MR. DAVID JAMES PICKLE, MSPT
Title: CEO
Phone: (207) 626-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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