Individual
MR. SHAN MARTIN TEIXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MOMT, OCS
Contact information
Practice address
581 MAIN ST, SUITE 1, LEWISTON, ME 04240-5945
(207) 777-3002
Mailing address
581 MAIN ST, SUTIE 1, LEWISTON, ME 04240-5945
(207) 777-3002
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT2321
ME
Other
Enumeration date
03/14/2006
Last updated
12/10/2010
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