Individual
KELLY FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1011 FOREST AVE, PORTLAND, ME 04103-3304
(207) 692-3463
Mailing address
44 PINECREST RD, PORTLAND, ME 04102-1319
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT5097
ME
Other
Enumeration date
01/13/2014
Last updated
08/30/2023
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