Active NPIIndividual provider

Jenna Dubord, PTA

Physical Therapy Assistant in Brewer, Maine

NPI Number1720478720
Practice location
797 Wilson St, Brewer, ME 04412-1000
Fax
—
Last updated
January 28, 2015

Jenna Dubord is a Physical Therapy Assistant based in Brewer, ME. Jenna Dubord practices in Brewer, ME and has the professional credentials of PTA. The NPI Number for Jenna Dubord is 1720478720 and holds a License No. PA4220 (ME). The current practice location address for Jenna Dubord is 797 Wilson St, Brewer, ME 04412-1000 and can be reached out via phone at 207-992-4042.

Provider Profile Details

NPI Number
1720478720
Provider Name
Jenna Dubord
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
797 Wilson St, Brewer, ME 04412-1000
Phone Number
207-992-4042
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
January 28, 2015
Last Update Date
January 28, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
797 Wilson St
Brewer, ME 04412-1000
City
Brewer
State
Maine
Zip
04412-1000
Phone Number
207-992-4042
Brewer, ME 04412Get directions →

Provider Business Mailing Address Details

Address
797 Wilson St
Brewer, ME 04412-1000
City
Brewer
State
ME
Zip
04412-1000

License Information

License Number
PA4220
License State
ME
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jenna Dubord, PTA?

The NPI number of Jenna Dubord, PTA is 1720478720. It was assigned on January 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Jenna Dubord, PTA?

Jenna Dubord, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in ME under license number PA4220.

Where does Jenna Dubord, PTA practice?

The practice location is 797 Wilson St, Brewer, ME 04412-1000. The office can be reached at 207-992-4042 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720478720 directly on the NPPES registry website.

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