Individual
MRS. ANDREA A. KOUROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 775-4263
Mailing address
12 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 775-4263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1149
ME
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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