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Individual

MS. DEBORAH A SIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
335 CORINNA RD, DEXTER, ME 04930-2040
(207) 992-4042
(207) 992-4043
Mailing address
94 MAIN ST, GORHAM, ME 04038-1340
(207) 839-5860
(207) 839-2499

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
731
ME
225100000X
Physical Therapist
Primary
PT731
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432640299
ME
Enumeration date
11/18/2005
Last updated
04/01/2019
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