Individual
MRS. MICHELLE RENE BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
Mailing address
65 LONE INDIAN TRL, AUGUSTA, ME 04330-8541
(503) 716-6045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
08701
OR
225200000X
Physical Therapy Assistant
0964
NH
225200000X
Physical Therapy Assistant
2099717
TX
225200000X
Physical Therapy Assistant
Primary
PA5280
ME
Other
Enumeration date
07/30/2009
Last updated
10/05/2023
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