Individual
STEVEN ANDREW KIESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1145 BRIGHTON AVE, PORTLAND, ME 04102-1025
(207) 541-6523
Mailing address
1145 BRIGHTON AVE, PORTLAND, ME 04102-1025
(207) 541-6523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA1356
ME
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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