Individual
KELLY ANN HANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
149 SILVER ST, WATERVILLE, ME 04901-5813
(207) 873-4638
(207) 873-1541
Mailing address
12 COTTLE RD, OAKLAND, ME 04963-4842
(207) 465-3388
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
Primary
PT2820
ME
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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