Individual
OLIVIA RENEE MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 SPRING ST, WESTBROOK, ME 04092-3915
(207) 856-1230
Mailing address
19 PHEASANT RUN, ALFRED, ME 04002-3058
(207) 746-8436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4934
ME
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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