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1417288747
LIVEVITAL PHYSICAL THERAPY & PERFORMANCE
PORTLAND, ME
NPI
1417288747
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Entity Type
Organization
Authorized Contact
DAVID T KNOP
Owner/President
207-749-0617
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2010-01-27
Last Update Date
2010-01-27
Business Address
LIVEVITAL PHYSICAL THERAPY & PERFORMANCE
40 MAPLE STREET
PORTLAND, ME 04101
Phone number: 207-749-0617
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Mailing Address
LIVEVITAL PHYSICAL THERAPY & PERFORMANCE
40 MAPLE STREET
PORTLAND, ME 04101
Phone number: 207-749-0617
Copy
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