Individual
RENEE M ST. JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
179 LISBON ST, LOWER LEVEL, LEWISTON, ME 04240-7248
(207) 753-0100
(207) 753-0600
Mailing address
NEUROMUSCULAR REHABILITATION, PA, 179 LISBON ST LOWER LOBBY SUITE 2, LEWISTON, ME 04240-7248
(207) 753-0100
(207) 753-0600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT656
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265600000
—
ME
05
—
265600099
—
ME
Enumeration date
06/14/2007
Last updated
04/26/2017
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