Individual
MICHELLE CERMINARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
181 MAIN ST, NORWAY, ME 04268-5664
(207) 744-6160
Mailing address
PO BOX 333, ANDOVER, ME 04216-0333
(570) 204-6210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT009184L
PT LICENSE
PA
01
—
PT4709
PT LICENSE
ME
Enumeration date
10/22/2020
Last updated
11/16/2022
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