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Individual

ROBERTA HARTIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
25 DALLAS HILL ROAD, RANGELEY, ME 04970
(207) 864-3332
(207) 864-9224
Mailing address
PO BOX 722, RANGELEY, ME 04970-0722
(207) 864-3332
(207) 864-9224

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2146
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA2146
MAINE STATE PTA LICENSE NUMBER
ME
Enumeration date
01/10/2017
Last updated
01/10/2017
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