Individual
MRS. KRISTEN MARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2151
ME
2251X0800X
Orthopedic Physical Therapist
0400003576
VT
Other
Enumeration date
02/09/2006
Last updated
07/09/2009
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