Individual
DR. TIMOTHY W LIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
Mailing address
8 GREENFIELD DR, WESTBROOK, ME 04092-2228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4738
ME
Other
Enumeration date
08/29/2016
Last updated
03/05/2022
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