Ingrid J Van Duivenbode in South Portland - Physical Therapist
Ingrid J Van Duivenbode - NPI 1619900263
Ingrid J Van Duivenbode is a Physical Therapist in South Portland, Maine. Ingrid J Van Duivenbode practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ingrid J Van Duivenbode is 1619900263. The last update date is 2020-10-16.
Ingrid J Van Duivenbode's current location address is 100 Gannett Dr Ste C, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Ingrid J Van Duivenbode is 100 Gannett Dr Ste C, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ingrid J Van Duivenbode |
|---|---|
| Address | 100 Gannett Dr Ste C, South Portland, Maine |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1619900263 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2020-10-16 |
Provider Mailing Address Detail
| Address | 100 Gannett Dr Ste C |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41065900 |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT2381 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 338210099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ingrid J Van Duivenbode by the Centers for Medicare & Medicaid Services?
The Ingrid J Van Duivenbode has been issued the NPI (National Provider Identifier) 1619900263 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Ingrid J Van Duivenbode's physical address?
The Ingrid J Van Duivenbode is physically located at 100 Gannett Dr Ste C, in the city of South Portland, ME, with the postal code 41065900.
What is Ingrid J Van Duivenbode's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ingrid J Van Duivenbode is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did Ingrid J Van Duivenbode receive its 1619900263 assignment from the Centers for Medicare & Medicaid Services?
The Ingrid J Van Duivenbode was assigned its 1619900263 on 2006-07-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ingrid J Van Duivenbode most recently updated or revised?
The details related to Ingrid J Van Duivenbode, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-16.