Organization
THERIAULT CHIROPRACTIC & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER ANNA THERIAULT DC (OWNER)
(207) 222-2118
Entity
Organization
Contact information
Practice address
381 MAIN ST STE 3, GORHAM, ME 04038-1361
(207) 222-2118
(207) 222-2145
Mailing address
381 MAIN ST STE 3, GORHAM, ME 04038-1361
(207) 222-2118
(207) 222-2145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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