Individual
STEPHEN R VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CHT
Contact information
Practice address
275 BATH RD, SUITE 2, BRUNSWICK, ME 04011-2671
(207) 729-4998
(207) 729-6225
Mailing address
275 BATH RD, SUITE 2, BRUNSWICK, ME 04011-2671
(207) 729-4998
(207) 729-6225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT525
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098420
ANTHEM
ME
Enumeration date
07/22/2005
Last updated
02/24/2010
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