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Contact Information

JUNE C DESTEFANO TAIT, PT
51 US ROUTE 1
SUITE J
SCARBOROUGH, ME04074-7158
 Phone: 207-883-1227
 Fax: 207-883-6199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JUNE C DESTEFANO TAIT · (Female)

NPI # 1013076439
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 12/08/2006
Last updated 05/14/2013 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PT940
  • ME Medicaid 278030099
  • Other QX9576 MEDICARE PTAN
  • ME Other 013890 ANTHEM
  • ME Other 650009113 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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