Individual
TINA MARIE CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 ELM ST, HOULTON, ME 04730-2215
(207) 532-5937
Mailing address
10 ELM ST, HOULTON, ME 04730-2215
(207) 532-5937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1546
ME
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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