| Prospect Inc. | |
|
6 Rockwood Dr., Suite #2, Manchester, ME 04351-0552 | |
| (207) 626-3333 | |
| (207) 626-3334 |
| Full Name | Prospect Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6 Rockwood Dr., Manchester, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790830255 | NPI | - | NPPES |
| 060722 | Other | ME | BLUE CROSS, BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2546 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Inc. 6 Rockwood Drive, Suite #2, Manchester, ME 04351-0552 Ph: (207) 626-3333 | Prospect Inc. 6 Rockwood Dr., Suite #2, Manchester, ME 04351-0552 Ph: (207) 626-3333 |
Jacobus Blom, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Granite Hill Rd, Manchester, ME 04351 Phone: 207-626-7222 | |
Wendy R Allard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8 Pond Rd, Manchester, ME 04351 Phone: 207-446-2864 | |
Anne Jenkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Granite Hill Rd, Manchester, ME 04351 Phone: 207-626-7222 | |
Karin Thornton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Granite Hill Rd, Manchester, ME 04351 Phone: 207-626-7222 | |
Robin Page Dufour, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Rockwood Dr, Suite 2, Manchester, ME 04351 Phone: 207-626-3333 Fax: 207-626-3334 | |
David James Pickle, MSPT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6 Rockwood Drive, Suite #2, Manchester, ME 04351 Phone: 207-626-3333 Fax: 207-626-3334 |