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Individual

MRS. TAMARA J BANNERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSCPT

Contact information

Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938
(207) 479-2620
(207) 479-2624
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 479-2620
(207) 479-2624

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1360
ME
225100000X
Physical Therapist
Primary
PT1360
ME

Other

Enumeration date
05/02/2008
Last updated
06/28/2019
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