Individual
MISS MARILYN BACLOR TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
163 VAN BUREN RD, 1, CARIBOU, ME 04736-3567
(207) 498-1618
(207) 498-1653
Mailing address
495 MAIN ST, APARTMENT 3, CARIBOU, ME 04736-4301
(207) 554-8955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3009
ME
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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