Individual
SERENNA J FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
98 BANGOR ST STE A, HOULTON, ME 04730-1603
(207) 521-0200
(207) 521-0210
Mailing address
PO BOX 1423, HOULTON, ME 04730-5423
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA6100
ME
225700000X
Massage Therapist
MT2094
ME
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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