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Individual

MS. MARJORIE AMPORN HANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
SCARBOROUGH PHYSICAL THERAPY ASSOCIATES, 51 US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 883-1227
(207) 883-6199
Mailing address
SCARBOROUGH PHYSICAL THERAPY ASSOCIATES, 51 US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 883-1227
(207) 883-6199

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT984
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061246
ANTHEM
ME
05
432001499
ME
01
650009113
RR MEDICARE
ME
Enumeration date
12/08/2006
Last updated
03/19/2009
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