Individual
MICHELLE LYNN PLOURDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-3155
Mailing address
184 ST JOHN RD, FORT KENT, ME 04743-2209
(207) 316-8055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2668
ME
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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