Provider Demographics
NPI:1295364396
Name:ALIGN PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:ALIGN PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:571-296-9066
Mailing Address - Street 1:425 MOOSENECK RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:ME
Mailing Address - Zip Code:04606-3549
Mailing Address - Country:US
Mailing Address - Phone:571-296-9066
Mailing Address - Fax:
Practice Address - Street 1:425 MOOSENECK RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:ME
Practice Address - Zip Code:04606-3549
Practice Address - Country:US
Practice Address - Phone:571-296-9066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy