Provider Demographics
NPI:1962216978
Name:HEALING STEPS PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:HEALING STEPS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSCONE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:814-769-3709
Mailing Address - Street 1:180 BANGOR MALL BLVD # 1082
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-3632
Mailing Address - Country:US
Mailing Address - Phone:814-769-3709
Mailing Address - Fax:
Practice Address - Street 1:265 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1325
Practice Address - Country:US
Practice Address - Phone:814-769-3709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty