Provider Demographics
NPI:1578379798
Name:STINSON, WILLIAM C (PT, DPT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:STINSON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 COMMERCE PLZ
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-1498
Mailing Address - Country:US
Mailing Address - Phone:207-377-1580
Mailing Address - Fax:207-377-1581
Practice Address - Street 1:16 COMMERCE PLZ
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:ME
Practice Address - Zip Code:04364-1498
Practice Address - Country:US
Practice Address - Phone:207-377-1580
Practice Address - Fax:207-377-1581
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT6983225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist