NPI | 1487028775 |
---|---|
Former Legal Business Name | REFORM PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JILL PARTRIDGE Owner 207-725-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4350) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4569) |
Enumeration Date | 2015-11-24 |
Last Update Date | 2022-08-09 |