Individual
MRS. JENORA SUE SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
9 COBBOSSEE RD, MONMOUTH, ME 04259-7113
(207) 933-2484
Mailing address
9 COBBOSSEE RD, MONMOUTH, ME 04259-7113
(207) 933-2484
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 2508
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027963
ANTHEM OR BLUECROSS
ME
Enumeration date
08/31/2006
Last updated
07/08/2007
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