Provider Demographics
NPI:1508226119
Name:UBE PHYSICAL THERAPY AND PERFORMANCE LLC
Entity type:Organization
Organization Name:UBE PHYSICAL THERAPY AND PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:207-992-4000
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:ME
Mailing Address - Zip Code:04489-0006
Mailing Address - Country:US
Mailing Address - Phone:207-992-4000
Mailing Address - Fax:207-558-3285
Practice Address - Street 1:1211 BROADWAY STE 8
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-2503
Practice Address - Country:US
Practice Address - Phone:207-992-4000
Practice Address - Fax:207-558-3285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy