Individual
KIMBERLY ANN PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 CHENERY ST, PORTLAND, ME 04103-4522
(207) 318-8866
Mailing address
8 CHENERY ST, PORTLAND, ME 04103-4522
(207) 318-8866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4712
ME
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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