Individual
MRS. HEATHER PULKKINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 MAIN ST, NORWAY, ME 04268-5643
(207) 743-5493
Mailing address
176 MAIN ST, NORWAY, ME 04268-5643
(207) 743-5493
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4707
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA4707
N/A
ME
Enumeration date
10/13/2016
Last updated
10/13/2016
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