IndividualActive
Andrea Kouros
NPI 1407081755 · Physical Therapist · South Portland, ME
Provider details
- NPI number
- 1407081755
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT1149 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12 Atlantic Pl
South Portland, ME 04106-2316
Phone: (207) 775-4263
Approximate (ZIP-level) locationGet directions
Mailing address
12 Atlantic Pl
South Portland, ME 04106-2316
Registry dates
- Enumerated
- 2009-05-15
- Last updated
- 2009-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.