Individual
JENNIFER ADRIENNE MCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
619 BRIGHTON AVE STE 101, PORTLAND, ME 04102-2373
(207) 879-7510
Mailing address
75 MABEL ST, PORTLAND, ME 04103-2514
(207) 553-0398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3989
ME
2251X0800X
Orthopedic Physical Therapist
026391
NY
2251X0800X
Orthopedic Physical Therapist
Primary
3989
ME
Other
Enumeration date
04/06/2010
Last updated
12/28/2023
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