Individual
KACEY MARIE IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
Mailing address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21054
MA
225100000X
Physical Therapist
3811
NH
225100000X
Physical Therapist
Primary
PT4555
ME
Other
Enumeration date
07/27/2015
Last updated
10/04/2020
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