Provider Demographics
NPI:1255343620
Name:VOLK, KERRY ANN ROLLINS (MSPT, BOCO)
Entity type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:ANN ROLLINS
Last Name:VOLK
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Gender:F
Credentials:MSPT, BOCO
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Mailing Address - Street 1:170 US ROUTE 1
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2154
Mailing Address - Country:US
Mailing Address - Phone:207-781-5369
Mailing Address - Fax:207-781-5862
Practice Address - Street 1:170 US ROUTE 1
Practice Address - Street 2:SUITE 180
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2154
Practice Address - Country:US
Practice Address - Phone:207-781-5369
Practice Address - Fax:207-781-5862
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEPT1672225100000X
MEC52330222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist