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Individual

JESSICA LYNN WALFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1068 MAIN ST, SANFORD, ME 04073-3606
(207) 324-6789
Mailing address
860 GOOSE POND RD, SHAPLEIGH, ME 04076-3717
(207) 636-2122

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3332
ME

Other

Enumeration date
06/25/2009
Last updated
06/25/2009
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