Individual
MR. DANA MICHAEL TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT.,CPT
Contact information
Practice address
400 EGYPT RD, DAMARISCOTTA, ME 04543-4322
(207) 563-2737
(207) 563-2737
Mailing address
400 EGYPT RD, DAMARISCOTTA, ME 04543-4322
(207) 563-2737
(207) 563-2737
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT1780
ME
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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