Individual
HEATHER EASTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
354 CLARKS POND PKWY APT 610, SOUTH PORTLAND, ME 04106-7921
(508) 341-2907
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT6538
ME
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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