| Light Of Life Ministries Inc | |
|
160 Riverside Dr, Augusta, ME 04330-4162 | |
| (207) 622-9467 | |
| (207) 623-2874 |
| Full Name | Light Of Life Ministries Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 160 Riverside Dr, Augusta, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841289345 | NPI | - | NPPES |
| 410460000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Susanne M Bouchard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346346772 PECOS PAC ID: 8820081888 Enrollment ID: I20040406000468 |
| Provider Name | Marnie E Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225134646 PECOS PAC ID: 7113937350 Enrollment ID: I20060502000614 |
| Provider Name | Wendy R Allard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225271521 PECOS PAC ID: 2062561277 Enrollment ID: I20090519000168 |
| Provider Name | Kayla S J Sprowl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063938116 PECOS PAC ID: 9032482906 Enrollment ID: I20170829002782 |
| Provider Name | Stephanie A Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265762181 PECOS PAC ID: 2961895511 Enrollment ID: I20220203001686 |
| Mailing Address | Practice Location Address |
|---|---|
| Light Of Life Ministries Inc 160 Riverside Dr, Augusta, ME 04330-4162 Ph: (207) 622-9467 | Light Of Life Ministries Inc 160 Riverside Dr, Augusta, ME 04330-4162 Ph: (207) 622-9467 |
Resolve Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Stone St, Augusta, ME 04330 Phone: 207-621-6378 | |
Wendy Claveau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Enterprise Dr, Augusta, ME 04330 Phone: 207-621-7500 | |
Joshua Barlow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 Capitol St, Suite 2, Augusta, ME 04330 Phone: 615-778-4066 Fax: 615-778-9114 | |
Joshua Penney, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 603-630-0648 | |
Dr. Thomas Sandoval, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 40 Glenridge Dr, Augusta, ME 04330 Phone: 207-626-2600 | |
Kayla Scott Jones Sprowl, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 160 Riverside Dr, Augusta, ME 04330 Phone: 207-622-9467 | |
Patricia Prescott, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Enterprise Dr, Augusta, ME 04330 Phone: 207-621-7500 |