Individual
MOLLY AMIRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1133 WASHINGTON AVE, PORTLAND, ME 04103-3629
(207) 797-0600
Mailing address
1133 WASHINGTON AVE, PORTLAND, ME 04103-3629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2471
ME
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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