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WIGGLE WORMS PEDIATRIC PHYSICAL THERAPY LLC NPI 1063962116


NPI Information

NPI: 1063962116
Provider Name: WIGGLE WORMS PEDIATRIC PHYSICAL THERAPY, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
764 US ROUTE 1
UNIT 4
YORK, ME
ZIP 03909
Phone: (207) 351-3083
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WIGGLE WORMS PEDIATRIC PHYSICAL THERAPY, LLC is a speech language pathologist in York, ME. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. WIGGLE WORMS PEDIATRIC PHYSICAL THERAPY, LLC NPI is 1063962116. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

764 US ROUTE 1
UNIT 4
YORK, ME
ZIP 03909-883
Phone: (207) 351-3083
Fax: (207) 351-3083

The provider's authorized official is Joan M Bastek .
The authorized official title is Billing Specialist and has the following contact phone number (207) 351-3078.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSP2587MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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