Charles, Sydney Grace

Charles, Sydney Grace is an individual health care provider with primary practice located at 1 Enterprise Drive , Biddeford ME 04005-4239. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Charles, Sydney Grace can be contacted via phone (207) 951-3373.

Contact Information

Primary practice address
1 Enterprise Drive Biddeford ME 04005-4239
Phone: (207) 951-3373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5967 Maine

Profile Details

NPI number 1861163123
LBN Legal business name Charles, Sydney Grace
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2021
Last updated Sep 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861163123 NPPES
Maine MEDICAID PT5967

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