Individual
KRISTEN LEPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
797 WILSON ST, BREWER, ME 04412-1000
(207) 924-0077
(207) 924-0078
Mailing address
797 WILSON ST, BREWER, ME 04412-1000
(207) 924-0077
(207) 924-0078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4278
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4278
PHYSICAL THERAPY LICENSE
ME
Enumeration date
08/07/2014
Last updated
09/20/2016
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