Individual
MRS. DEENA ALBERT PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 615-4144
Mailing address
3430 W RIVER RD, SIDNEY, ME 04330-2549
(207) 547-2068
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT140
ME
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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