Individual
MRS. STACEY LYNN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
370 PORTLAND ST, YARMOUTH, ME 04096-8101
(207) 846-9021
Mailing address
8 COUNTRY CHARM RD, CUMBERLAND, ME 04021-4030
(207) 829-3467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2521
ME
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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