Individual
MRS. GRETCHEN ALLYN APPLEBY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
9 EXETER ST, PORTLAND, ME 04102-2806
(207) 542-5679
Mailing address
9 EXETER ST, PORTLAND, ME 04102-2806
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT461
ME
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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