Provider Demographics
NPI:1457527186
Name:LINDA MORRIS PHYSICAL THERAPY
Entity type:Organization
Organization Name:LINDA MORRIS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:207-882-6555
Mailing Address - Street 1:841 W ALNA RD
Mailing Address - Street 2:
Mailing Address - City:ALNA
Mailing Address - State:ME
Mailing Address - Zip Code:04535-3410
Mailing Address - Country:US
Mailing Address - Phone:207-882-6555
Mailing Address - Fax:
Practice Address - Street 1:841 W ALNA RD
Practice Address - Street 2:
Practice Address - City:ALNA
Practice Address - State:ME
Practice Address - Zip Code:04535-3410
Practice Address - Country:US
Practice Address - Phone:207-882-6555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT1471174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432131899Medicaid
ME432131899Medicaid