Individual
MELISSA D RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1012 UNION ST, SUITE 3, BANGOR, ME 04401-3060
(207) 404-8100
(207) 990-1248
Mailing address
1012 UNION ST, SUITE 3, BANGOR, ME 04401-3060
(207) 404-8100
(207) 990-1248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3438
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3438
MAINE STATE LICENSE
ME
05
—
433023999
—
ME
Enumeration date
08/08/2008
Last updated
01/21/2015
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