Individual
PATRICIA KLOFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 HARRISON RD, BRIDGTON, ME 04009-4744
(207) 647-2227
Mailing address
593 HARRISON RD, BRIDGTON, ME 04009-4744
(207) 647-2227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT254
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015348
BLUE SHIELD
ME
Enumeration date
10/26/2006
Last updated
07/08/2007
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