Individual
CHRISTINE FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3 WALLY LN, BERWICK, ME 03901-2459
(207) 698-5026
Mailing address
3 WALLY LN, BERWICK, ME 03901-2459
(207) 698-5026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0256
NH
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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