Individual
MRS. KESLEY LYNN MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22 NORTHBROOK DR, FALMOUTH, ME 04105-1318
(207) 781-5775
Mailing address
9 ABBI LN, SCARBOROUGH, ME 04074-6103
(860) 839-8158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2951
ME
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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