Individual
MACEY NICOLE BERUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
300 MAIN ST, DEPT OF PHYSICAL THERAPY, LEWISTON, ME 04240-7041
(207) 795-0111
Mailing address
300 MAIN ST, DEPT OF PHYSICAL THERAPY, LEWISTON, ME 04240-7041
(207) 795-0111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5200
ME
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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