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NPI 1477312866 · live from the CMS NPI Registry

Heather Eastty, PT, DPT, NCS

Physical Therapist, Neurology in Portland, ME. National Provider Identifier 1477312866, active.

NPI record

NPI1477312866 Type 1 · individual
StatusActive
Primary specialtyPhysical Therapist, Neurology 2251N0400X
Practice location22 Bramhall St, Portland, ME 04102
Practice phone207-662-0111
Mailing address354 Clarks Pond Pkwy Apt 610, South Portland, ME 04106
EnumeratedMarch 18, 2024
Last updatedMarch 18, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist, Neurology primary2251N0400XPT6538 (ME)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.