Individual
JILL PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 CLEARWATER DR., SUITE #3, FALMOUTH, ME 04105
(207) 781-9885
(207) 781-9887
Mailing address
98 CLEARWATER DR., SUITE #3, FALMOUTH, ME 04105
(207) 781-9885
(207) 781-9887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT3114
LICENSE #
ME
Enumeration date
08/30/2006
Last updated
10/15/2007
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