Individual
MRS. MICHELLE L SIROIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
260 WESTERN AVE, SOUTH PORTLAND, ME 04106-2432
(207) 879-7510
(207) 879-7511
Mailing address
260 WESTERN AVE, SOUTH PORTLAND, ME 04106-2432
(207) 879-7510
(207) 879-7511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT918
ME
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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