Individual
MS. CONSTANCE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10 HOSPITAL DR, BRIDGTON HOSPITAL- REHAB DEPT, BRIDGTON, ME 04009-1148
(207) 647-6144
Mailing address
5 S LOWER BAY RD, LOVELL, ME 04051-3536
(207) 925-6803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1686
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286170099
—
ME
Enumeration date
08/19/2006
Last updated
07/10/2012
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