Individual
SARA PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
925 UNION ST STE 3, BANGOR, ME 04401-3051
(207) 973-8839
Mailing address
925 UNION ST STE 3, BANGOR, ME 04401-3051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT707
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000033450
BOC
ME
Enumeration date
07/13/2020
Last updated
07/13/2020
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