Provider Demographics
NPI:1881723583
Name:HEMPSTEAD, PAUL J (PT)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:J
Last Name:HEMPSTEAD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1120
Mailing Address - Street 2:
Mailing Address - City:SABATTUS
Mailing Address - State:ME
Mailing Address - Zip Code:04280-1120
Mailing Address - Country:US
Mailing Address - Phone:207-576-7508
Mailing Address - Fax:207-622-2213
Practice Address - Street 1:295 WATER ST
Practice Address - Street 2:SUITE 101
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-4621
Practice Address - Country:US
Practice Address - Phone:207-622-2211
Practice Address - Fax:207-622-2213
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
ME1331225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist