Individual
MRS. VIVIAN IRENE THERRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MERCHANT LN, ADDISON, ME 04606-3363
(207) 497-5633
(207) 497-5633
Mailing address
20 MERCHANT LN, ADDISON, ME 04606-3363
(207) 497-5633
(207) 497-5633
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198850000
—
ME
Enumeration date
01/25/2007
Last updated
11/02/2009
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