Individual
MRS. LORI BOURGET SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
55 SPRING ST, SCARBOROUGH, ME 04074-8926
(207) 883-3988
(207) 883-2329
Mailing address
471 PLAINS RD, HOLLIS CENTER, ME 04042-3127
(207) 727-6946
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA1394
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1394
PTA LICENSE NUMBER
ME
Enumeration date
07/11/2006
Last updated
07/08/2007
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