Ben Sidaway, Ph.D., PT
Physical Therapist in Dedham, ME. Individual provider (NPI-1).
NPI number1265541973
StatusActive
Last updated in NPPESAug 4, 2008
Details
- NPI
- 1265541973
- Entity type
- Individual (NPI-1)
- Name
- Prof. Ben Sidaway
- Credential
- Ph.D., PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2006
- Last updated
- Aug 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT2634 | ME | Yes |
Practice location
577 Green Lake RdDedham, ME 04429-4523
Phone 207-843-6137
Mailing address
577 Green Lake RdDedham, ME 04429-4523
Phone 207-843-6137
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