Individual
LAUREN COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
69 PLEASANT ST, DOVER FOXCROFT, ME 04426-1239
(207) 745-7742
Mailing address
262 MAIN ST APT B, BRADLEY, ME 04411-5112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4676
ME
Other
Enumeration date
06/14/2016
Last updated
02/15/2019
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