Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | PT5620 | ME |
N | 213ES0000X | Sports Medicine | PT5620 | ME |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT5620 | ME |
NPI | 1033733860 |
---|---|
Provider Name | Brooke Flaherty |
First Address | Cape Elizabeth, ME 04107-2038 |
Second Address | Cape Elizabeth, ME 04107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2020 |
Last Update Date | 04/10/2021 |