Individual
MADELEINE VIVIAN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
204 MAINE AVE, PORTLAND, ME 04103-3906
(207) 632-3433
Mailing address
204 MAINE AVE, PORTLAND, ME 04103-3906
(207) 632-3433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT769
ME
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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