Organization
WILD GRACE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ANN ESTES LPTA, LMT (OWNER)
(207) 737-2478
Entity
Organization
Contact information
Practice address
36 LUDWIG RD, DRESDEN, ME 04342-3411
(207) 737-2478
Mailing address
36 LUDWIG RD, DRESDEN, ME 04342-3411
(207) 737-2478
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT2942
ME
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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