Magnolia Outpatient Physical Therapy Services, Llc | |
24 Martin Ln, Belfast, ME 04915-6099 | |
(207) 930-7037 | |
Not Available |
Full Name | Magnolia Outpatient Physical Therapy Services, Llc |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 24 Martin Ln, Belfast, Maine |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851083919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Elizabeth V Durham |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346367349 PECOS PAC ID: 1759796154 Enrollment ID: I20210219000756 |
Provider Name | Kristen Lee Amidon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629796958 PECOS PAC ID: 4284010190 Enrollment ID: I20220929003168 |
Provider Name | Tiffany Haas |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558140939 PECOS PAC ID: 0840645602 Enrollment ID: I20231013001913 |
Provider Name | Amy E Fernald |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922887231 PECOS PAC ID: 5294181806 Enrollment ID: I20231101003656 |
Provider Name | Tracy D Brown |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801675079 PECOS PAC ID: 9739535345 Enrollment ID: I20231101003671 |
Provider Name | Christina W Kelly |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740237494 PECOS PAC ID: 8527079789 Enrollment ID: I20231113001569 |
Provider Name | Constance E O'brient |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720869514 PECOS PAC ID: 5890142889 Enrollment ID: I20231113003374 |
Provider Name | Bernard Alexis H Carpio |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679352868 PECOS PAC ID: 4981051851 Enrollment ID: I20231114003593 |
Provider Name | Michael A York |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1013371145 PECOS PAC ID: 3678922481 Enrollment ID: I20231205003055 |
Mailing Address | Practice Location Address |
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Magnolia Outpatient Physical Therapy Services, Llc 24 Martin Ln, Belfast, ME 04915-6099 Ph: (214) 828-6146 | Magnolia Outpatient Physical Therapy Services, Llc 24 Martin Ln, Belfast, ME 04915-6099 Ph: (207) 930-7037 |
Ms. Diane Palmer Bergey, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 171 High St, Belfast, ME 04915 Phone: 207-592-0191 | |
Waldo County Child Development Service Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 139 Northport Avenue, Belfast, ME 04915 Phone: 207-338-1177 Fax: 207-338-9978 | |
Rachel Nolin Adler, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-4186 | |
Ashlee Hamann, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-7273 | |
Vicky Terpoorten, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6a Lions Way, Belfast, ME 04915 Phone: 207-338-1960 | |
Sunny Rae Bolduc, OT/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-4727 | |
Lauren Curry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-4753 |