Individual
MRS. JENNIFER WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
48 DUDLEY ST, PRESQUE ISLE, ME 04769-2616
(207) 764-7282
Mailing address
48 DUDLEY ST, PRESQUE ISLE, ME 04769-2616
(207) 764-7282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2124
ME
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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