Individual
MRS. DENISE MARY COBLEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1145 BRIGHTON AVE, PORTLAND, ME 04102-1025
(207) 541-2563
Mailing address
239 LUDLOW ST, PORTLAND, ME 04102-1807
(207) 774-5328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA70000030
ME
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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