Individual
SUSAN E GARRETTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
64 E MAIN ST, SUITE G, DOVER FOXCROFT, ME 04426-1398
(207) 564-0406
(207) 564-0405
Mailing address
PO BOX 324, DOVER FOXCROFT, ME 04426-0324
(207) 564-0406
(207) 564-0405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT933
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308590099
—
ME
Enumeration date
05/08/2008
Last updated
07/05/2016
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