Individual
KRISTLE VANHISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 MAIN ST, PHYSICAL REHABILITATION DEPT, NORWAY, ME 04268-5664
(207) 743-1562
Mailing address
12 BRIGGS ISLAND CV, WINDHAM, ME 04062-5493
(207) 893-1545
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1687
ME
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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