NPI 1457121808
Advantage Physical Therapy & Performance
Practice location
- Address
- 10 Dynamic Dr STE 2, Scarborough, ME 04074-6594
- Phone
- (207) 944-5654
- Mailing address
- 125 Brickhill Ave Unit 124, South Portland, ME 04106-2194
Authorised official
- Name
- Lucas J Davenport
- Title
- Owner
- Phone
- (207) 944-5654
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1457121808
- Entity type
- Organization
- NPI issued
- 8 Jan 2024
- Record last updated
- 8 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.