Provider Demographics
NPI:1558423913
Name:HARRINGTON, CAROL LYNNE (PT)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LYNNE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MESERVE ST
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:ME
Mailing Address - Zip Code:04055-5346
Mailing Address - Country:US
Mailing Address - Phone:207-693-4202
Mailing Address - Fax:207-693-5069
Practice Address - Street 1:4 MESERVE ST
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:ME
Practice Address - Zip Code:04055-5346
Practice Address - Country:US
Practice Address - Phone:207-693-4202
Practice Address - Fax:207-693-5069
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME292920099Medicaid
ME001113OtherANTHEM BLUE CROSS