Provider Demographics
NPI:1326129651
Name:NEFF MONTEMBEAU, PAMELA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:NEFF MONTEMBEAU
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BRICKYARD LANE
Mailing Address - Street 2:UNIT DD
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909
Mailing Address - Country:US
Mailing Address - Phone:207-439-1500
Mailing Address - Fax:207-439-1500
Practice Address - Street 1:1 BRICKYARD LANE
Practice Address - Street 2:UNIT DD
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909
Practice Address - Country:US
Practice Address - Phone:207-439-1500
Practice Address - Fax:207-439-1500
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT1238225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0004195Medicare PIN