Individual
SALLY ROSE NOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1 CUMBERLAND PL, SUITE 108, BANGOR, ME 04401-5083
(207) 990-9000
Mailing address
758 KENDUSKEAG AVE, BANGOR, ME 04401-2908
(207) 942-1584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2427
ME
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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