Holly Sanborn
Physical Therapist in Sebago, ME. Individual provider (NPI-1).
NPI number1144500380
StatusActive
Last updated in NPPESJan 15, 2021
Details
- NPI
- 1144500380
- Entity type
- Individual (NPI-1)
- Name
- Holly Sanborn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2011
- Certification date
- Jan 15, 2021
- Last updated
- Jan 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT5287 | ME | Yes |
| 225100000X | Physical Therapist | PT011405L | PA |
Practice location
479 Hancock Pond RdSebago, ME 04029-3004
Phone 610-983-4010
Mailing address
479 Hancock Pond RdSebago, ME 04029-3004
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