Individual
MOLLY DEARBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
764 US ROUTE 1, #4, YORK, ME 03909-1680
(207) 351-3078
(207) 351-3083
Mailing address
764 US ROUTE 1 #4, WIGGLE WORMS PEDIATRIC PT, YORK, ME 03909
(207) 351-3078
(207) 351-3083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3564
ME
Other
Enumeration date
08/06/2009
Last updated
04/09/2015
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