Provider Demographics
NPI:1508226119
Name:UBE PHYSICAL THERAPY AND PERFORMANCE LLC
Entity Type:Organization
Organization Name:UBE PHYSICAL THERAPY AND PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:207-992-4000
Mailing Address - Street 1:14 VITTUM RD
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-4103
Mailing Address - Country:US
Mailing Address - Phone:207-992-4000
Mailing Address - Fax:207-669-8302
Practice Address - Street 1:14 VITTUM RD
Practice Address - Street 2:BUILDING 1
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-4103
Practice Address - Country:US
Practice Address - Phone:207-949-0552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy