Individual
MS. CAROLANN PRESENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 OCEAN AVE STE 1, PORTLAND, ME 04103-4970
(207) 329-1154
Mailing address
PO BOX 481, PORTLAND, ME 04112-0481
(207) 329-1154
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT209
ME
Other
Enumeration date
04/08/2008
Last updated
11/01/2014
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