Individual
MISS EMILY ELIZABETH MAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1879 PORTOLA RD, SUITE A2, VENTURA, CA 93003-6436
(805) 644-1273
(805) 644-4417
Mailing address
1879 PORTOLA RD., SUITE A2, VENTURA, CA 93003-8095
(805) 644-1273
(805) 644-4417
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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