Individual
MRS. LOUISE S COUILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT ASSISTANT
Contact information
Practice address
220 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 873-5125
(207) 859-8905
Mailing address
122 WASHINGTON ST, OAKLAND, ME 04963-5249
(207) 649-7206
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA0064
ME
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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