Individual
CHRISTINE PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 VARNEY RD, NORTH BERWICK, ME 03906-6142
(207) 676-9811
Mailing address
222 ROLLINGWOOD RD, ELIOT, ME 03903-1525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1213
ME
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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