Light of Life Ministries INC

NPI #1841289345 in Augusta, Maine

Provider Information

NPI Number: 1841289345
Entity Type: Organization
Organization Name: Light of Life Ministries INC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 18, 2005
Last Updated: Jul 31, 2013

Practice Location

Address: 160 RIVERSIDE DR
City: Augusta
State: Maine
ZIP Code: 04330-4162
Phone: (207) 622-9467

Authorized Official

Name: MRS. JANE E CHAPMAN
Title: ADMINISTRATOR
Phone: (207) 622-9467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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