Individual
JILL MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-6177
Mailing address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-6177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1420
ME
Other
Enumeration date
10/28/2015
Last updated
10/29/2015
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