Individual
MEGAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 MINOT AVE, AUBURN, ME 04210-4332
(207) 784-3573
Mailing address
531 CHURCH HILL RD, AUGUSTA, ME 04330-8214
(207) 462-0707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4946
ME
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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