Individual
JOAN E LOFTHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
40 WATER ST, FAIRFIELD, ME 04937-1535
(207) 453-9458
Mailing address
40 WATER ST, FAIRFIELD, ME 04937-1535
(207) 453-9458
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PA1574
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1574
PTA LICENSE
ME
Enumeration date
05/11/2008
Last updated
05/11/2008
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