Provider Demographics
NPI:1962783597
Name:AUSTERER HIGGINS PHYSICAL THERAPY AND WELLNESS
Entity type:Organization
Organization Name:AUSTERER HIGGINS PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTERER-BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:207-878-5002
Mailing Address - Street 1:11 MAIN ST STE 7
Mailing Address - Street 2:PMB 252
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4786
Mailing Address - Country:US
Mailing Address - Phone:207-878-5002
Mailing Address - Fax:207-878-5007
Practice Address - Street 1:512 WARREN AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-1006
Practice Address - Country:US
Practice Address - Phone:207-878-5002
Practice Address - Fax:207-878-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty