Provider Demographics
NPI:1457495442
Name:PLW INC
Entity Type:Organization
Organization Name:PLW INC
Other - Org Name:NEW BEGINNINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSOR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:207-324-1611
Mailing Address - Street 1:1068 MAIN ST
Mailing Address - Street 2:BOX 11
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-3606
Mailing Address - Country:US
Mailing Address - Phone:207-324-1611
Mailing Address - Fax:207-324-1611
Practice Address - Street 1:1068 MAIN ST
Practice Address - Street 2:BOX 11
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073-3606
Practice Address - Country:US
Practice Address - Phone:207-324-1611
Practice Address - Fax:207-324-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT8742251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME043193OtherANTHEM
ME7898188OtherAETNA