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Jacqueline D Mast, PT,MSED
Pediatric Physical Therapist in Portland, Maine
NPI 1588740914

Jacqueline D Mast is a Pediatric Physical Therapist based in Portland, ME and is specialized in Pediatrics. Jacqueline D Mast practices in Portland, ME and has the professional credentials of PT,MSED. The NPI Number for Jacqueline D Mast is 1588740914 and holds a License No. PT677ME (Maine).

The current practice location address for Jacqueline D Mast is 980 Forest Ave, Portland, ME and can be reached out via phone at 207-689-6278 and via fax at 207-747-4107. You can also correspond with Jacqueline D Mast through the mailing address at 94 RACKLEFF ST, PORTLAND, ME - 04103-3054 (mailing address contact number: 207-689-6278).

Location: 980 Forest Ave, Portland, ME, 04103-3054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588740914
Provider Name
Jacqueline D Mast
Credential
PT,MSED
Provider Entity Type
Individual
Gender
Female
Address
980 Forest Ave, Portland, ME, 04103-3054
Phone Number
207-689-6278
Fax Number
207-747-4107
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
017179 01 ME ANTHEM BCBSME ID
5947274 01 ME AETNA PIN
336900099 05 ME
institution
Provider Business Practice Location Address Details
Address
980 Forest Ave
City
Portland
State
Maine
Zip
04103-3388
Phone Number
207-689-6278
Fax Number
207-747-4107
person
Provider Business Mailing Address Details
Address
980 Forest Ave
City
Portland
State
Maine
Zip
04103-3388
Phone Number
207-689-6278
Fax Number
207-747-4107
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT677ME (Maine)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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