Individual
GINA LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4891
Mailing address
208 HIGH ST APT 5, PORTLAND, ME 04101-2869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4958
ME
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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