Individual
MRS. VICKI BELINDA VADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
196 ALLEN AVE, PORTLAND, ME 04103-3711
(207) 874-8100
Mailing address
130 DUTTON HL, GRAY, ME 04039-9581
(207) 657-3847
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT228
ME
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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