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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROF. BEN SIDAWAY, PH.D., PT

Active Sole Proprietor

PROF. BEN SIDAWAY, PH.D., PT is a Physical Therapy Assistant healthcare provider located in DEDHAM, Maine. NPI 1265541973 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DEDHAM, ME

Registration Details

NPI Number
1265541973
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2006 (19.777610843031 yrs)
Last Updated
Aug 4, 2008
License
PT2634 (ME)
Sole Proprietor
Yes

Practice Information

Address
577 GREEN LAKE RD
DEDHAM, ME, 044294523
Browse ME providers · Browse ZIP 04429
Phone
2078436137
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in DEDHAM, ME

Name Credential NPI
KIMBERLY ANN GREENLAW PT 1770771503
DR. SONDRA SIEGEL PT 1114184728
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.