Individual
CAROLYN VIRGINIA MENGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1601 CONGRESS ST, PORTLAND, ME 04102-2102
(207) 774-5710
Mailing address
33 ROBERTS ST APT 3, PORTLAND, ME 04102-2880
(440) 478-9543
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT6455
ME
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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