Individual
MITCHELL VAUGHN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
163 VAN BUREN RD, CARIBOU, ME 04736-3567
(207) 498-1618
(207) 498-1653
Mailing address
163 VAN BUREN RD STE 1, CARIBOU, ME 04736-3567
(207) 498-1618
(207) 498-1653
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4867
ME
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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