Up & Away Therapies LLC
Physical Therapist, Pediatrics in North Yarmouth, ME. Organization (NPI-2).
NPI number1164028106
StatusActive
Last updated in NPPESDec 6, 2020
Details
- NPI
- 1164028106
- Entity type
- Organization (NPI-2)
- Legal business name
- Up & Away Therapies LLC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2020
- Certification date
- Dec 6, 2020
- Last updated
- Dec 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | – | – | Yes |
Practice location
51 Pine Ridge RdNorth Yarmouth, ME 04097-6950
Phone 617-869-1179
Mailing address
51 Pine Ridge RdNorth Yarmouth, ME 04097-6950
Phone 617-869-1179
Authorized official
Elizabeth Cyr
Co-Owner, Physical Therapist
6178691179
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