Individual
GRACE ELISABETH BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FORE ST FL 2, PORTLAND, ME 04101-4879
(207) 773-5778
Mailing address
131 COOPER HILL RD, NOTTINGHAM, NH 03290-6015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10514
MN
225100000X
Physical Therapist
Primary
PT4644
ME
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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