Individual
SALLY E. GROUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 DEPOT RD, FALMOUTH, ME 04105-1211
(207) 781-8881
Mailing address
57 WILLARD ST, SOUTH PORTLAND, ME 04106-3137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT54
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT54
PHYSICAL THERAPIST
ME
Enumeration date
05/02/2007
Last updated
07/08/2007
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