Individual
ALISON THAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 ANDOVER ROAD, PORTLAND, ME 04102
(207) 661-3600
Mailing address
9 ALLEN AVENUE EXT, FALMOUTH, ME 04105-1895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2850
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022842
ANTHEM
ME
01
—
1283982
AETNA
ME
05
—
407120099
—
ME
Enumeration date
02/21/2007
Last updated
10/06/2021
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