Individual
MRS. TRACEY ELIZABETH FLEWELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
117 BENNOCH RD, ORONO, ME 04473-3620
(207) 866-4914
Mailing address
97 WESLEY RD, UNITY, ME 04988-3929
(207) 948-3037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA1618
ME
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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