Individual
AARONE RAE DUROCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTC, OT-SC
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
(207) 828-2190
Mailing address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT63
ME
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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