Individual
LISA M MULREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
177 COLDBROOK RD, HAMPDEN, ME 04444
(207) 862-2088
(207) 862-2262
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2703
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432258499
—
ME
Enumeration date
07/04/2006
Last updated
02/01/2022
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