Individual
MRS. MIRANDA BETH VALLOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
125 OAK ST, STE 2, ELLSWORTH, ME 04605
(207) 667-0290
(207) 667-0288
Mailing address
584 BALD MOUNTAIN RD, DEDHAM, ME 04429
(207) 843-6051
(207) 667-0288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2514
ME
Other
Enumeration date
04/22/2006
Last updated
07/08/2007
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