Individual
ELIZABETH DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
50 NEW PORTLAND RD, GORHAM, ME 04038-1542
(207) 839-5757
Mailing address
50 NEW PORTLAND RD, GORHAM, ME 04038-1542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4575
ME
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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