Individual
ANGELA L PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
83 MAGGIE LN, PORTLAND, ME 04103-6503
(207) 649-3256
Mailing address
83 MAGGIE LN, PORTLAND, ME 04103-6503
(207) 649-3256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3034
ME
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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