Individual
MIRANDA LEE NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
Mailing address
131 RABBIT RD, SABATTUS, ME 04280-4951
(207) 890-4792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2669
ME
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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