Body In Balance Physical Therapy Inc | |
21 Bradeen Street Suite 304, Springvale, ME 04083 | |
(207) 324-3745 | |
(207) 324-3745 |
Full Name | Body In Balance Physical Therapy Inc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 21 Bradeen Street Suite 304, Springvale, Maine |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225210396 | NPI | - | NPPES |
650023920 | Other | ME | RR MEDICARE |
041334 | Other | ME | ANTHEM BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT882 (Maine) | Primary |
Provider Name | Laura Beauchesne |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659317451 PECOS PAC ID: 3971530502 Enrollment ID: I20050725001185 |
Mailing Address | Practice Location Address |
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Body In Balance Physical Therapy Inc Po Box 15, Springvale, ME 04083-0015 Ph: (207) 324-3745 | Body In Balance Physical Therapy Inc 21 Bradeen Street Suite 304, Springvale, ME 04083 Ph: (207) 324-3745 |
Donna Sargent, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 462 Main St, Suite 1, Springvale, ME 04083 Phone: 207-324-5551 | |
Dr. Kyle Sikes, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 488 Main St, Springvale, ME 04083 Phone: 207-490-4920 |