Kelly Briglia

Individual provider Active NPI Physical Therapist · Nobleboro, ME

NPI 1770937674 · NPPES record last updated Apr 17, 2016

Key facts

NPI
1770937674
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT3909 (ME)
Practice address
464 W Neck Rd
Nobleboro, ME 04555-8630
Phone
(732) 693-8848
NPI assigned
Apr 17, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT3909MEMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3909 ME Yes

Addresses

Primary practice location

464 W Neck Rd
Nobleboro, ME 04555-8630

Mailing address

464 W Neck Rd
Nobleboro, ME 04555-8630
Phone (732) 693-8848

Other providers in Nobleboro, ME

All providers in Nobleboro, ME · Physical Therapist in Maine

Sources for this page

Verify at the official NPI Registry.