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Individual

SIERRA ROSE CASTONGUAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
96 FALMOUTH ST, PORTLAND, ME 04103-4864
(800) 800-4876
Mailing address
6 PATRIOTS LN, NOTTINGHAM, NH 03290-5821
(603) 303-6614

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1626
NH
2255A2300X
Athletic Trainer
Primary
AT992
ME

Other

Enumeration date
03/12/2025
Last updated
01/10/2026
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